GB 2 (THE FIRST ONE GOT MAD FUCKED) Flashcards by FWU Enterprise

Q

type 1 choledochal cyst

A

concentric dilation of CBD

most common type

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Q

type 2 choledochal cyst

A

CBD diverticulum

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Q

type 3 choledochal cyst

A

Choledochocele - cystic dilatation of intraduodenal portion of CBD

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Q

type 4

A

Ditatation of CBD with IHBD involvement

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Q

type 5

A

Caroli Disease
Saccular dilatation of IHBD with calculus formation and bacterial cholangitis
Minimal dilatation of IHBD, associated with hepatic fibrosis and portal hypertension

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Q

choledochal cyst sono appearance (3)

A

Cystic structure near GB continuous with bile ducts
Large cysts containing sludge
IHBD dilatations (type IV and V)

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Q

choledochal cyst complications (5)

A

Stone formation in cyst, GB, panc duct
Biliary obstruction
Chronic cholangitis
Cirrhosis
Bilirary rupture with biliary peritonitis (image).

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Q

abnormal GB thickness

A

> 3mm

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Q

Inflamatory causes of GB wall thickening

A

acute and chronic cholecystitis

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Q

nonInflamatory causes of GB wall thickening

A

Viral hepatitis, cirrhosis, congestive heart failure, hypoalbuminemia, pancreatitis.

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Q

Pediatric cholelithiasis associated with (5)

A

Cystic fibrosis
Malabsorption
Crohn’s disease
Bowel resection
Sickle cell

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Q

neonatal cholelithiasis associated with (5)

A

Anomalies of the biliary system 
Dehydration
TPN 
total parenteral nutrition - causes bile stasis
Infection
Hemolytic anemia

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Q

older children cholithiasis presentation (3)

A

RUQ pain
Intolerance to fatty foods
N&V

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Q

in utero stones in neonate will likely resolve in

A

a year

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Q

cholelithiasis sono appearance

A

Mobile echogenic intraluminal structures with PAS, may have twinkle artifact with colour doppler

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Q

causes of sludge

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A

Prolonged fasting
Hyperalimentation/TPN
Extraheptic bile duct obstruction

Q

causes of cholecystitis (4)

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A

Hypoalbuminemia
Acute Viral Hepatitis
Heart and renal failure
Cystic duct obstruction from external source

Q

cholecystitis symptoms (4)

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A

RUQ pain
Fever
Vomiting
Palpable RUQ lump

Q

Hydropic gallbladder seen in

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A

Acutely ill children on TPN
Also associated with Kawasaki syndrome, leptospirosis, typhoid fever, ascariasis, Salmonella, chronic biliary obstruction

Q

clinical presentation of hydronic GB

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A

RUQ pain
Fever
Dehydration
Abdo distention

Q

hydronic GB appearance

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A

GB - enlarged, anechoic, with thin walls

Q

in biliary obstruction ducts can rupture causing (3)

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A

neonatal jaundice
biliary ascites
biloma

Q

what is Sclerosing Cholangitis

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A

Chronic disease with inflammatory fibrosis that obliterates the intra and extra hepatic bile ducts

Q

Sclerosing Cholangitis results in (3)

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A

biliary cirrhosis
portal hypertension
liver failure

Sclerosing Cholangitis mainly associated with

IBD

Sclerosing Cholangitis clinical presentation (3)

RUQ pain Jaundice Abnormal LFTs and ↑ bilirubin

Sclerosing Cholangitis sono features (3)

thickened bile duct walls choledocholithiasis ductal strictures

what is Rhabdomyosarcoma

rare biliary neoplasm | Arises from biliary tract and causes obstruction

clinical presentation of Rhabdomyosarcoma (4)

Increasing abdo girth Jaundice Pain Weight loss

Rhabdomyosarcoma sono features (3)

Solid Hyperechoic Within bile ducts

Rhabdomyosarcoma is known for

2nd most common cause of obstructive jaundice

Most common cause of obstructive jaundice in neonates

Biliary atresia

Most common cause of obstructive jaundice in older children

Choledochal cyst