Gallbladder Flashcards

1
Q

[gb location]

A

right upper quadrant of liver
posteroinf. of liver

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2
Q

T/F GB is intraperitoneal

A

T

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3
Q

gb [wide, length]

A

3 cm
7-10 cm

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4
Q

gb three layers

A

outer serosa-peritoneum [post. of body and neck]
fibromuscular coat
internal/muscular coat

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5
Q

[..] continuous with cystic duct

A

neck

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6
Q

[..] round and project below inf margin of liver

A

fundus

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7
Q

[..] extends upwards and backwards from fundus and lies on main boundary fissure, [..]

A

body
hauptgrenzspaite of hjortsjo

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8
Q

[..] lies in main boundary fissure

A

main hepatic vein

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9
Q

[..] lies between neck and body

A

infundibulum

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10
Q

indefinite pouch of infundibulum on posterior surface

A

Hartmann’s pouch

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11
Q

fasting gb wall is [..] thick

A

3mm

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12
Q

sono app of gb

A

pencil thin echogenic line, pear-shaped

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13
Q

sono loc of fundus

A

superficial almost in/c w/ abdominal wall anteriorly

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14
Q

sono loc of neck

A

deeper posi

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15
Q

sono app of fundus

A

laterally place than the neck

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16
Q

causes of gb thickening

A

hepa
heart failure
hypoalbuminemia
contracted organ
cholethiasis
asitis

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17
Q

T/F BT is intraperitoneal

A

T

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18
Q

BT is composed of:

A

liver, gb, panc

19
Q

[PREP] NPO [..]

A

8-12 hrs

20
Q

if moveable [..]

A

gb stone/bile sludge

21
Q

if stationary [..]

A

polyps, carcinoma

22
Q

variation wherein gb disappears when change in pos’n

A

segmental contractions

23
Q

variation, fundus fold itself

A

phrygian cap

24
Q

suspended by the [..]

A

long mesentery

25
Q

gb may be partially or totally divided [normal]

A

septation

26
Q

NV of BT

A

Duplications of CD
Variable lvl of junction of cystic and CHD
Septations

27
Q

GB pt pos’n

A

supine, left lat decub, LPO

28
Q

gb n CD sono app

A

filled by normal bile -anechoic
longi -oblong
axial - round or oval

longi - tubular
axial - round

29
Q

echogenic bile due to the presence of calcium bilirubinate w/ cholesterol crystals
due to lack of bile turnover

A

bile sludge

30
Q

UTS F. bile sludge

A
  1. layering
  2. no AS
31
Q

may mimic gb cancer
gb is surgically removed

A

temefactive bile sludge

32
Q

UTS F. temefactive bile sludge

A

sludge ball opening like stone

33
Q

CAUSE of GS or cholelithiasis

A

cholesterol
bilirubinate
calcium carbonate

34
Q

sign wherein stones move w’in gb lumen

A

rolling stone sign

35
Q

sign wherein gb lumen is entirely filled with stones

A

wes sign

36
Q

inflammation of gb

A

acute cholecystitis

37
Q

types of acute cholecystitis

A

calculus - obstructing stones
acalculus - due to infection

38
Q

types of acute cholecystitis

A

calculus - obstructing stones
acalculus - due to infection

39
Q

sign wherein there is pain when hc touches peritoneum, RUQ pain

A

Murphy’s Sign

40
Q

sign wherein there is gas bubbles inside gb

A

effervescent sign

41
Q

MC CAUSE of Emphysematous

A

gas-forming bacteria

42
Q

multiple cholesterol esters “STRAWBERRY GB”

A

Cholesterolosis

43
Q

CAUSES of Cholesterlosis

A

smoking
alcohol
unhealthy diet