Sanders Chapter 9 - Right Upper Quadrant Pain

Question 1

Sudden onset of abdominal pain. Causes include appendicitis, perforated peptic ulcer, strangulated hernia, acute cholecystitis, pancreatitis, and renal colic.

Answer 1

Acute Abdomen

Question 2

A chronic gallbladder condition causing right upper quadrant (RUQ) pain with several sonographic manifestations— the most common are multiple, small polypoid masses arising from the gallbladder wall.

Answer 2

Adenomyomatosis

Question 3

Acquired immunodeficiency syndrome

Answer 3

AIDS

Question 4

Infection with amebic parasite, common in Mexico, the southern United States, and warm climates.

Answer 4

Amebiasis

Question 5

Abscess caused by amebiasis.

Answer 5

Ameboma of the Liver

Question 6

Inflammation of a bile duct.

Answer 6

Cholangitis

Question 7

Inflammation of the gallbladder.

Answer 7

Cholecystitis

Question 8

Usually caused by gallbladder outlet obstruction.

Answer 8

Acute Cholecystitis

Question 9

Inflammation persisting over a longer period.

Answer 9

Chronic Cholecystitis

Question 10

Surgical procedure in which the bile duct is anastomosed to jejunum; food and air may reflux into the bile ducts.

Answer 10

Choledochojejunostomy

Question 11

Gallstone in a bile duct.

Answer 11

Choledocholithiasis

Question 12

Gallstones in the gallbladder.

Answer 12

Cholelithiasis

Question 13

Variant of adenomyomatosis in which cholesterol polyps arise from the gallbladder wall.

Answer 13

Cholesterosis (Cholesterolosis).

Question 14

Portion of the gallbladder that lies nearest the cystic duct where stones often collect.

Answer 14

Hartmann’s Pouch

Question 15

Septum usually arising from the posterior midaspect of the gallbladder, a normal variant.

Answer 15

Junctional Fold

Question 16

Tenderness when an inflamed gallbladder is palpated clinically, usually on deep inspiration.

Answer 16

Murphy’s Sign

Question 17

Variant gallbladder shape in which the gallbladder’s fundus is separated from the body of the gallbladder by a junctional fold.

Answer 17

Phrygian Cap

Question 18

Producing pus.

Answer 18

Pyogenic

Question 19

Multiple pouches in the wall of the gallbladder, which often fill with cholesterol crystals.

Answer 19

Rokitansky-Aschoff Sinuses (RAS)

Question 20

Procedure in which the sphincter of Oddi is widened surgically. Gas will reflux into the bile ducts.

Answer 20

Sphincterotomy

Question 21

Sonographic pattern seen when the gallbladder is filled with stones. The WES consists of two curved, parallel bright lines separated by a thin, anechoic space, accompanied by posterior acoustic shadowing.

Answer 21

Wall Echo Shadow (WES), Wall Echo Shadow Complex (WESC), or Double Arc Shadow Sign