Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Radiographic Procedures 2 > Systems-Billary Tract > Flashcards

Systems-Billary Tract Flashcards

1
Q

What does Chole mean?

A

Bile

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What does cysto mean?

A

Bag/sack/bladder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What does Cholecyst mean?

A

Gallbladder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What does coledocho mean?

A

Common bile duct

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What does cholangio mean?

A

Bile vessel

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What does lith mean?

A

Stone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Where is the gallbladder in hypersthenic patients?

A

2 inches higher than T12 and lateral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Where is the gallbladder in sthenic patients?

A

L2/1 inch above the LCM and 2 inches to the right of the MSP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Where is the gallbladder in asthenic patients?

A

Midline at L4 (illiac crest)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the 3 functions of the gallbladder?

A
  1. Storage of bile
  2. Consentration of bile
  3. Contraction when stimulated
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

When stimulated, what does the gallbladder secrete?

A
  1. CCK
  2. Bile
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the function of bile?

A

Breaks down fats

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Label 1-4

A
  1. Cystic duct
  2. Right hepatic duct
  3. Common hepatic duct
  4. Common bile duct
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is Cholecystography?

A

study of the GB

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is Cholangiography?

A

study of the biliary ducts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is Cholecystangiography?

A

The study of GB & ducts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What are the 3 types of examinations of the billary tract?

A
  1. Percutaneous Transhepatic Cholangiography
  2. T-Tube Cholangiogram
  3. Endoscopic Cholangiopancreatogram – ERCP
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is cholelithiasis?

A

Cholelithiasis-Gall stones in the common bile duct

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

T/F

Cholesterol is radiolucent

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

T/F

Majority of gall stones are radiopaque

A

False; Majority of gall stones are radiolucent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is the modalitly of choice for Cholelithiasis (Gallstones)?

A

Ultrasound is the modality of choice for diagnosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What percentage of gallstones contain enough calcium to be seen radiographically?

A

20% contain enough calcium to be seen radiographically

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

How do we see gallstones if the majority are radiolucent?

A

See filling defect with contrast

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What pathology is being shown here?

A

4 gallstones

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

What pathology is being shown in this image?

A

Filling defects with contrast, common bile duct enlarged

26
Q

What pathology is being shown here?

A

Calcified gallstones

27
Q

What does Percutaneous mean?

A

Percutaneous=Through the skin

28
Q

T/F

PTC – Percutaneous Transhepatic Cholangiography is a theraputic proceedure only.

A

False; Diagnostic or therapeutic procedure

29
Q

Where is the needle for PTC – Percutaneous Transhepatic Cholangiography inserted?

A

Into a bile duct

30
Q

What is the purpose of PTC – Percutaneous Transhepatic Cholangiography?

A
  1. Injection of dilute contrast
  2. May drain excessive fluid
  3. May remove stones or sludge causing obstruction
31
Q

What proceedure is often done for palliative patients?

A

PTC – Percutaneous Transhepatic Cholangiography

32
Q

What is being shown here, what proceedure was done?

A

PTC w/ Chiba needle showing dilated biliary ducts

33
Q

What is being shown here?

A

PTC with drainage catheter in place

34
Q

What is PTC drainage often for?

A

Drainage often used for obstructive jaundice

35
Q

What is the purpose of T-Tube Cholangiograms?

A

To show the caliber and patency of the ducts, or the presence of residual or previously undetected stones

36
Q

What proceedure is this describing?

Biliary tract examination that is performed via a T-shaped or pigtail-shaped catheter left in the common hepatic and common bile ducts for postoperative drainage

A

T-Tube Cholangiogram

37
Q

What patient prep needs to be done prior to a T-Tube Cholangiogram?

A
  1. The drainage tube is clamped the day before
  2. The preceding meal is withheld
  3. May need cleansing enema 1 hour before
38
Q

T/F

With a T-Tube Cholangiogram, you must ensure that there are no air bubbles.

A

True

39
Q

Why is a pigtail catheter is required for laparoscopic biliary procedures?

A

A pigtail catheter is required for laparoscopic biliary procedures because it can be placed percutaneously.

40
Q

What should the density of the contrast medium be for Biliary Duct Procedures? Why?

A

The density of the contrast medium used no greater than 25% to 30% because small stones may be obscured with a higher concentration

41
Q

What is proceedure is being done?

A

T-Tube Cholangiogram

42
Q

What is being shown here?

A

Filling defects of the billary tract

43
Q

What is the lateral projection of the billary tract used for?

A

To show anatomic branching of the hepatic ducts in this plane and to detect any abnormality not otherwise shown

44
Q

What does ERCP stand for?

A

ERCP - Endoscopic Retrograde Cholangiopancreatogram

45
Q

Watch videos

A

http://www.youtube.com/watch?v=vnAtuG9ULB4

46
Q

T/F

CT has now replaced msot ERCP - Endoscopic Retrograde Cholangiopancreatogram proceedures.

A

True

47
Q

What is the main use for ERCP?

A

Treatment of choledocholithiasis and malignant obstructive jaundice

48
Q

What proceedure is this describing?

Endoscopic inspection, cannulation, and injection of the biliary ducts with the use of a duodenoscope (fiberoptic endoscope) by a Gastroenterologist in the Endoscopy suite or Radiology Suite.

A

ERCP - Endoscopic Retrograde Cholangiopancreatogram

49
Q

When is floro needed in ERCP?

A

Once the scope reaches the common bile duct

50
Q

What body position should the patient be in for an ERCP?

A

They need to be in a lateral, recovery, or prone position. Just not supine.

51
Q

What proceedure is being done here? What is circled in yellow?

A

ERCP, the pancreatic duct

52
Q

What is this?

A

An endoscope

53
Q

What are the responsibilities of the rad techs for imaging related to the billary tract?

A
  1. Set up examination tray
  2. Select and prepare contrast media,
  3. Take scout images
  4. Provide protective aprons
  5. Monitor the patient during the procedure
  6. Take conventional radiographs or fluoro images as requested
54
Q

What is the arrow pointing to?

A

Catheter in the common bile duct

55
Q

What is being shown here?

A

Cutting the sphincter of the oddie to let the stones in the common bile duct to come out

56
Q

What proceedure has been done? What are the purple, yellow and green structures circled?

A

ERCP
Yellow: Common hepatic
Green: Cystic
Purple: Common bile

57
Q

What is the most common modality for imaging of the gallbladder?

A

Ultrasound

58
Q

What is the second most common imaging done for the gallbladder?

A

CT

59
Q

Is this proceedure done with, or without contrast? What are the structures circled in purple and yellow?

A

CT scan done with contrast
Purple: Spleen
Orange: Gallbladder

60
Q

What proceedure has been done here?

A

ERCP

61
Q

What proceedure has been done here?

A

T tube

62
Q

What proceedure has been done here?

A

Percutaneous Transhepatic Cholangiography

Radiographic Procedures 2 (18 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions