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Flashcards in Gallbladder Deck (76)
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1

the capacity of the gallbladder is ____

30 to 50 mL

2

The GB lacks the following smooth muscle layer

muscularis mucosa
submucosa

3

What is the main blood supply of the gallbladder?

Cystic artery

4

The cystic artery is a branch of?

right hepatic artery

5

What passes through the triangle of callot?

Cystic artery

6

That are the borders of the traingle of callot?

Cystic duct
common hepatic duct
cystic artery

7

The budd triangle is bordered by

R: cystic duct
L: common hepatic
Superior: margin of the right lobe of liver

8

This refers to a circular area that fits into the hepatocystic duct angle

moosman area

9

The opening of the pancreatic duct is called ___

ampulla of Vater

10

The ampulla of vater is surrounded by ____

sphincter of oddi

11

The ampulla of vater is ___ cm distal to pylorus

10cm

12

The primary bile salt is composed of _____

chenodeoxycholate/cholate

13

The secondary bile salt is composed of ____

deoxycholate/lithocholate

14

What is the rate of feed forward secretion of per day of bile?

30g/day

15

How many grams of bile sals is secreted in the feces per day?

0.2-0.6g/day

16

The liver produces how many grams of liver per day?

0.2 to 0.6g

17

The primary bile salts are conjugated with these:

glycine and taurine

18

[Neurohormonal Regulation]

Nerve that stimulates GB contraction

vagus

19

[Neurohormonal Regulation]

inhibits GB contraction

VIP, somatostatin

20

[Neurohormonal Regulation]

GB contraction

CCK

21

[Neurohormonal Regulation]

This stimulates the relaxation of the sphincter of oddi

CCK

22

[Neurohormonal Regulation]

stimulates liver ductal secretion

Secretin

23

What are the UTZ characteristics of gallstone?

Acoustically dense
Produce posterior shadow
Move with changes in position

24

[diagnose]

Stone
GB thickening
Pericholecystic fluid
sonographic murphy sign

acute cholecystitis

25

[Color of Gallstone ]

hemolytic disorders, cirrhosis can have this type of stone

pigment stone

26

[Type of Gallstone ]

radiolucent stone in UT

cholesterol

27

[Type of Gallstone ]

mulberry-shaped stone is composed of___

cholesterol + pigment

28

[Type of Gallstone ]

small, brittle, spiculated

supersaturation of Ca bilirubinated, carbonate and phosphate

due to hemolytic disorders and cirrhosis

black pigment stones

29

[Type of Gallstone ]

soft, mushy

usually secondary to bacterial infection or bile stasis

brown pigment stones

30

What are the indications for Prophylactic Cholecystectomy?

1. Hemoglobinopathies (sickle cell)
2. Hereditary spherocytosis and thalassemia at the time of splenectomy
3. Transplant recipients (Cardiac and Lung)