Q1 Flashcards
Risk factors for GB disease (3)
Obesity
Pregnancy
Fecundity
When observing stones what 3 things to note
Mobility
Shadowing
Hyperechogenicity
WES
Wall echo shadow
4 sono signs of acute cholecystitis
Positive Murphy’s
GB wall thickening
Fb linen >4cm in trans
Pericholecystic fluid collection
Gas in GB lumen and wall indicates
Emphysematous cholecystitis
3 aspects of chronic cholecystitis
Absence of GB distension
Negative Murphy’s
Lack of hyperemia
Cystic spaces exhibiting comet rail artifact within a focal thickened GB wall is consistent with
Adenomyomatosis
Obstruction of bile ducts can be caused by (3)
Stones
Infection
Neoplasms
Stasis that leads to primary choledocholithiasis may be the result of
Sclerosing cholangitis
T/f colour Doppler is helpful in determining an echogenic foci as a gallstone, polyp or sludgeball
False
None have vascularity
T/f Direct bilirubin is elevated in steatosis
FALSE - only indirect or conjugated
T/ the majority of CBD stones will be found in the distal segment
True
T/f A clinical sign of mirizzi syndrome is painful jaundice
True
T/f An abnormal connection between an organ vessel or intestine is called an ileus
False it’s a fistula
Charcots triad
Jaundice
RUQ pain
Fever
T/f
Acute cholangitis is not a medical emergency
False
Primary sclerosing cholangitis is associate with (4)
80% pts have IBS
Chronic inflammatory disease of entire biliary tree
Leads to structures and stasis of bile
Males most often affected
Klatskins tumour is locates where
Hilar region of liver
T/f colour Doppler is useful when a polyploid lesion over 10cm is seen in the GB
True
T/f Acalculus checystitis is common in the critically ill
True
Other causes of GB wall thickening (3)
Mononucleosis
End stage liver cirrhosis
Diverticulitis
NOT melanoma
