Gallbladder

Question 1

Diagn. these symptons

1. pain
2. jaundice

Answer 1

gallbladder disease

Question 2

what is the most classic symptom of gallbladder disease

Answer 2

pain

Question 3

This symptoms is what disease?

RUQ pain usually occurring after ingestion of greasy foods.

Answer 3

gallbladder disease

Question 4

what are the different pain symptoms of gallbladder disease?

Answer 4

1 nausea and vomiting
2 right shoulder pain
3 RUQ pain usually occuring after ingestion of greasy foods

Question 5

The presence of bile in tissues resulting in yellowing of the skin and whites of the eyes

Answer 5

jaundice

Question 6

__________ develops when a stone blocks the bile duts between the gallbladder and intestines, producing pressure on the liver and forcing bile into the blood

Answer 6

jaundice

Question 7

_________ is thickened bile occuring due to bile stasis.

Answer 7

Sludge

Question 8

________ may be seen in patiens with prolonged fasting or hyperalimentation therapy and with obstruction of the gallbladder

Answer 8

Sludge

Question 9

Where can sludge be seen?

Answer 9

CBD

Question 10

T or F

Sludge is gravity dependent

Answer 10

True

Question 11

Name this Sonographic Findings:

• Prominet gallbladder
• contains low level echos

Answer 11

Sludge

Question 12

Sludge may be seen in ________, ________ and other ________ _________.

Answer 12

Choleithiasis
cholecystitis
biliary diseases

Question 13

Does not layer out evenly and may resemble polypoid mass or pseudo tumor

Answer 13

Tumefactive sludge

Question 14

Tumefactive Sludge

Answer 14

sludge balls, mobile round non-shadowing echogenic masses in dependent gallbladder

Question 15

Gholecystitis, adenomyomatosis, cancer, cholangiopathy, sclerosing cholangitis may cause _________ wall to thicken

Answer 15

gallbladder

Question 16

what is the normal measurement of a gallbladder?

Answer 16

3mm

Question 17

Nonbiliary diseases that may also cause wall thickening of the gallbladder. (7)

Answer 17

Cirrhosis
Hepatitis
Pancreatitis
portal hypertension
heart failure
ascities
aids

Question 18

when measureing the wall thickness of the gallbladder, the transducer should be _________ to the anterior wall

Answer 18

perpendicular

(usually done

Question 19

Anterior wall of gallbladder is measured _______ to ________ margins

Answer 19

outer, outer

Question 20

inflammation of the gallbladder

Answer 20

cholecystitis

Question 21

acute, chronic, acalculous, emphysematous, gangrenous are several forms of ?

Answer 21

cholecystitis

Question 22

most commonly caused by cholelithiasis that creates a cystic duct obstruction?

Answer 22

acute cholecystitis

Question 23

______ _______ is six times more common in owmen than in men

Answer 23

acute cholecystitis

Question 24

what aged women are affected the most with acute cholecystitis?

Answer 24

middle aged

Question 25

what is the 5th leading cause of hospitilization?

Answer 25

acute cholecystitis

Question 26

diagn. these symptoms: - sharp RUQ pain radiating to the back - elevated WBC - fever - nausea - vomiting - positive Murphy's sign

Answer 26

Acute Cholecystitis

Question 27

what is a positive Murphy's sign?

Answer 27

patient is tender over gallbladder region to touch or tranducer pressure

Question 28

Name the disease with these complications: - Empyema - Emphysematous cholecystits - gangrenous cholecystitis - perforation

Answer 28

Acute Cholecystitis

Question 29

``` Name disease ? sonographic findings -stones -sludge -hydrops -pericholcystic fluid -gallbladder amy even appear normal ```

Answer 29

acute cholecystitis

Question 30

What is the most common for of gallbladder inflammation?

Answer 30

chronic cholecystitis

Question 31

Results due to numerous attacks of acute choleyctstitis with subsequent ______ of the gallbladder wall.

Answer 31

fibrosis

Question 32

_________ lining of the gallbladder becomes damaged and the gallbladder loses the ability to _______ _______ efficiently

Answer 32

store bile

Question 33

normal CBD is ______ in diameter

Answer 33

6mm

Question 34

CBD should never exceed ______ in diameter

Answer 34

10mm

Question 35

name disease for these symptoms - RUQ pain after eating- not as severe as an acute attack * greasy foods, creams, chocolate - Flatulent - Frequent Belching - Sour taste in mouth

Answer 35

Chronic Cholecystitis

Question 36

diagn. these sono. findings: - cholelithiasis - contracted gallbladder - coarse gallbladder wall thickening - WES sign)Wall, Echo, Shadow)

Answer 36

Chronic Cholecystitis