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Abdominopelvic 1441 > Major Exam 2 (Liver Ch. 14 & Biliary System Ch.15) > Flashcards

Major Exam 2 (Liver Ch. 14 & Biliary System Ch.15) Flashcards

1
Q

What lab value will be elevated with cholelithiasis ?

A

alkaline phosphatase

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2
Q

What pathology is shown here?

A

cholelithiasis

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3
Q

~A patient presenting with positive Murphy sign (RUQ pain)
~pain after eating (postprandial)

May present with ______.

A

Cholelithiasis

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4
Q

This contains calcifications and sonographically

~echogenic foci
~shadowing
~mobile

A

Cholelithiasis

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5
Q

Fundus is obscured by ______

A

gas

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6
Q

This image shows ______

A

Non-distended normal GB
postprandial — POST MEAL!

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7
Q

Dilation above where stone is obstructing is _________

A

Choledocholithiasis

doc-duct

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8
Q

Image shows
~ “double gun barrel sign”
~“Parallel channel sign”
~Measurement over 7mm

What is happening?

A

CBD dilation: CBD TAPERING OVERHepatic artery

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9
Q

Liver breaks down hemoglobin of RBC and a yellow pigment called ____ is made.

A

bilirubin

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10
Q

Eventually turns into stones;

A

Sludge

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11
Q

Indicative of:

A

CHF Congestive Heart Failure— dial aged Hepatic veins and IVC

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12
Q

Pathology
________= obstruction / stenosis of hepatic vein outflow tract. Hepatic veins will have reverse flow; Vein flow will be hepatopetal towards liver instead of hepatofugal toward IVC

A

Budd-Chiari Syndrome

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13
Q

Pathology: LARGE gallbladder; ________

A

Acute cholelithiasis

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14
Q

Pathology; reoccurring infections, shrunken gallbladder: ____

A

Chronic cholelithiasis

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15
Q

What is cause it the shadowing here?

A

Valve of Heister

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16
Q

In neck and cystic duct that prevents duct/neck from kinking, spiral.

A

Valves of Heister

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17
Q

An outpouching at neck of GB. Stone can collect her and cause obstruction:

A

infundibulum | Hartmann’s Pouch

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18
Q

Ducts are measured ____ to ___

A

Inner to Inner

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19
Q

Gallbladder located in _______ of the right lobe

A

postero-inferior

20
Q

Landmarks within the Main Lobar Fissure are:

A

IVC fossa
Middle Hepatic Vein
Galbladder

21
Q

Liver and GB frequency for normal patients?

A

3.0–3.5MHz

22
Q

GB measurement

A

8-12 cm

23
Q

Gallbladder wall thickness ____

A

Less than 3mm

24
Q

What is this ligament?

A

Falciform ligament, falciform ligament,
Ligamentum Teres

25
Q

Small blood vessels called _____ supply oxygen and nutrients to _____layer (arterial layer)

A

Vasa Vasorum

26
Q

The arterial layer most susceptible to disease

A

Tunica intima

27
Q

This arterial layer is also called the “elastin layer”

A

Tunica media

28
Q

Common hepatic duct measurement near porta hepatis ____

A

4mm

29
Q

Distal CBD (extra-hepatic) measurement ____

A

Up to 7mm

30
Q

The gallbladder wall measurement ____

A

3mm

31
Q

Bile produce in 1 day?

A

1 pint or 40mL

32
Q

This is referred to as _____

A

WES sign
Wall, Echogenicity of stone and Shadow

33
Q

Most common Normal Variant of GB

A

Phrygian Cap

In fundus

34
Q

Patient JUST had SURGERY, and ECHOGENIC stripe, ___ is seen; ____ within

A

Pneumo-bilia; air / gas in biliary tree

35
Q

The medial segment of the left lobe

A

quadrate Lobe

36
Q

___ is MIDLINE on POSTERO-SUPERIOR surface of liver

A

CAUDATE

37
Q

Which lobe is NOT a true lobe?

A

Quadrate Lobe

38
Q

Which lobe has its own blood supply directly from the small hepatic vein and portal vein?

A

Caudate Lobe

39
Q

Which lobe enlarges with cirrhosis?

A

Caudate Lobe

40
Q

_______ aka _______ _______:

~most common malignant liver NEOPLASM
~in 80% patients with cirrhosis
~more in MEN than women
~Low-level echoes or isoechoic, homogeneous-heterogeneous, hypervascular

A

Hepatoma aka Hepatocellular Carcinoma

41
Q

Ligamentum Teres separate the:

A

LT MEDIAL and LT LATERAL segments of the liver

42
Q

The IVC is _____ to the caudate Lobe.

A

POSTERIOR

43
Q

The RHV divides and drains:
The MHV divides and drains :
The LHM divides and drains:

A

RHV— POST & RT ANT

MHV— RT ANT & LT MEDIAL

LHV— LT MEDIAL & LT LATERAL

44
Q

The location of the UNCINATE PROCESS is described as:

A

POST to the SUPERIOR MESENTERIC VEIN

45
Q

The Main Pancreatic Duct is AKA

A

The Duct of Wir-sung

Abdominopelvic 1441 (6 decks)

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