Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Abdomen Ultrasound > Gallbladder/Biliary Tree > Flashcards

Gallbladder/Biliary Tree Flashcards

1
Q

Function of GB

A

Concentrate & store bile

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

Identifying landmarks of GB

A

Right PV & Main lobar Fissure

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

Anatomy of GB

A

Neck, Body, Fundus

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

Normal size of GB wall

A

3 mm

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

GB Volume Equation

A

(L * W * H) .52

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

Cystic Duct connects

A

GB Neck to Common Hepatic Duct

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

First/last to dilate if CBD is backed up

A

Gallbladder is first, CBD is last

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

Flow of bile

A

Liver → R/L Hepatic Ducts → Common Hepatic Duct → Cystic Duct → Gallbladder → Common Bile Duct → Pancreatic Duct → Ampulla of Vater → Sphincter of Oddi → Duodenum

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

Intrahepatic Dilation

A

Dilation which pushes bile back into liver; occurs at CHD, LHD, RHD

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

Extrahepatic Dilation

A

Pushes bile away from liver; blockage after cystic duct

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Spiral Valves of Heister

A

Connect gallbladder neck to cystic duct; control inward/outward flow of bile

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

Anatomy of Ampula of Vater (aka)

A

Hepatopancreatic Ampulla; Consists of duodenal papilla & Sphincter of Oddi

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

Sphincter of Oddi

A

Controls flow of bile & pancreatic juices into duodenum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Cholecystokinin (CCK)

A

Controls the flow of bile

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

Vessels from Posterior → Anterior

A

IVC, Portal Vein, Hepatic Artery, Bile Duct

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

Bile

A

Breaks down fat & RBC; made up of bile salts cholesterol, bilirubin

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

Bilirubin

A

Pigment formed from breakdown of RBC, associated w/ jaundice

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Avg size of bile duct

A

< 5 mm

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

Avg size of bile duct after cholecystectomy

A

10 mm or 1 cm

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

Direct Bilirubin

A

Bilirubin prevented from going into liver by an obstruction

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

Indirect Bilirubin

A

Loss of bilirubin due to hepatic damage; problem in the process of making bilirubin

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

Lab Values Associated w/ GB

A

Bilirubin, alkaline phosphatase, lactic dehydrogenase

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

Phygian Cap

A

Fold between the body and fundus

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

Junctional Fold

A

aka Hartman Pouch; fold between body & neck of GB

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
GB Variants
Phygian cap, junctional fold, septation, agenesis, duplication
26
Gallstones aka ____, formed from
Cholelithiasis; Formed by irregular bowel movements resulting in bile stasis, abnormal bile composition, infection
27
4 F's
Fat, female, forty, fertile
28
Symptoms of Gallstones
Asymptomatic, RUQ pain, fatty food intolerance
29
US Appearance of Gallstones
Highly echogenic, posterior shadowing, mobile
30
Mirizzi Syndrome
Stone impacted in the cystic duct or neck of GB; result in dilated intrahepatic ducts
31
WES Triad
Wall echo shadowing; 2 thin curved parallel lines caused by an excess of gallstones
32
Sludge Ultrasound Appearance
Low level echoes, non-shadowing, slow moving
33
Cholecystisis
Inflammation of GB Acute: Due to blockage of cystic duct Chromic: Due to infection, obstruction, or metabolic disorder
34
Symptoms of Acute Cholecystitis
RUQ pain, fever, nausea, vomiting, leukocytes
35
Appearance of Cholecystitis
Gallstones, wall thickening, Murphy's sign, round GB, sludge
36
Complications of Acute Cholecystitis
Empyema (pus), emphysematous cholecystitis, gangrenous cholecystitis, GB perforation, abscess
37
Hydrops (aka)
Mucocele, thin-walled, distended gallbladder due to prolonged obstruction; filled w/ mucus, pus, or bile
38
GB Polyps
Benign masses attached to wall of GB; no shadowing or change in position
39
Porcelain GB
Calcification of GB wall; associated w/ chronic cholecystitis, cholelithiasis, carcinoma
40
Adenomyomatosis
Benign growth of GB wall; main characteristic: comet tail artifact due to stones trapped in RA sinuses
41
RA Sinues
Rokitansky-Aschoff
42
Cholesterolosis
Accumulation of sterols/fats in GB wall; small non-shadowing masses projecting into GB; strawberry GB
43
GB Carcinoma Prevalance
Rare but more common in elderly & females; high association w/ gallstones
44
GB Carcinoma Symptoms
Loss of appetite, nausea, vomiting, RUQ pain, jaundice
45
Ultrasound Appearance of GB Carcinoma
Irregular wall borders, wall thickening, mass in lumen, gallstones, enlarged lymph nodes
46
Most common metastases of GB Carcinoma
Melanoma
47
Choledocal Cyst
Congenital, mostly in infants w/ failure to thrive, intermittent jaundice, and palpable RUQ mass; dilation of CBD
48
Caroli's Disease
Rare congenital condition that causes the bile ducts to be larger than usual leading to the formation of bile duct stones
49
Complications of Caroli's Disease
Lithiasis in bile ducts, recurring cholangitis
50
Appearance of Caroli's Disease
Multiple beads resembling "string like beads"
51
Biliary Atresia
Narrowing/obliteration of ducts due to obstruction
52
Intrinsic Biliary Atresia
Obstruction within bile ducts; choledocholithiasis, cholangiocarcinoma, inflammation due to cholangitis
53
Extrinsic Biliary Atresia
Obstruction due to factor occurring outside bile ducts; pancreatitis, pancreatic mass, pancreatic psudocyst, hepatic mass, periductal adenopathy
54
Appearance of Biliary Atresia
Tubular lucencies w/ deer antlers/stellate branches, Shotgun/Parallel Sign
55
Choledocholithiasis
Biliary obstruction caused by stones in the bile ducts (formed in GB)
56
Common location of choledocholithiasis
Distal CBD near Ampulla of Vater
57
Choledocholithiasis is associated with patients with
Cholelithiasis and chronic cholecystitis
58
Symptoms of choledocholithiasis
RUQ pain, jaundice, elevated bilirubin, biliary colic, hepatomegaly
59
Cholangiocarcinoma
Malignant carcinoma of the bile ducts
60
3 Types of Cholangiocarcinoma
Scirrhous, Polyploid, Klatskin's Tumor
61
Klatskin's Tumor
Carcinoma located at the junction of the right and left hepatic ducts, or porta hepatis
62
Cholangitis
Chronic inflammatory and fibrotic disorder of the biliary ducts
63
Ultrasound Appearance of Cholangitis
Thickened wall, sludge, dilated bile ducts
64
Symptoms of Cholangiocarcinoma
RUQ pain, pruritis, jaundice, weight loss/anorexia, biliary colic, palpable abdominal mass

Abdomen Ultrasound (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions