Lecture 10 Part 1 Flashcards

1
Q

The gall bladder is intra or retro

A

Intra

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2
Q

What does the gall bladder lie within

A

The gallbladder fossa

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3
Q

What extends the origin of right PV and the GB fossa

A

Main lobular fissure

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4
Q

The GB fissure seen in _____ % of patients

A

70%

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5
Q

3 layers that make the GB

A

Fibrous outer
Smooth
Mucous

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6
Q

3 parts of gb

A

Fundus body neck

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7
Q

What does the neck tapper into

A

Cystic duct

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8
Q

What joins the cystic duct to form what

A

Common bile duct to form the common bile duct

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9
Q

Cystic duct contain valves of ____

A

Heister

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10
Q

What are the valves of heister and what do they do

A

Mucosal folds

Prevent it from collapsing

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11
Q

Here is the cystic duct positioned

A

Extrahepatic

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12
Q

Is the blood supply of the GB routinely imaged

A

No

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13
Q

What is blood supply of GB

A

Cystic artery\

Cystic vein

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14
Q

Bile aids in what part of digestion

A

Breakdown of fat

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15
Q

_______ excretes bile into the duodenum

A

Biliary tree

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16
Q

What 2 hormones stimulate the biliary tree to contract

A

CCK and secretin

17
Q

GB function 2

A

Able to expand to acts as reservoir

Squeeze out contents on demand

18
Q

What is indicated if it hurts when pushing directly on GB

A

Positive murphy sign

19
Q

Size of full GB in transverse

20
Q

Wall thickness of GB

21
Q

Echogenicity of lumen of GB

22
Q

Echogenicity of wall of GB

A

Hyperechoic/echogenic

23
Q

Contour of GB

A

Smooth for inner and outer walls

24
Q

Shape of saggital fasted gb

A

Pear shape, should see whole thing

25
Shape GB in trans
Round/oval Similar in shape to the aorta and IVC
26
what do you choose between in Trans GB image
Body or fundus
27
What is measured in tran GB pic
Wall
28
Non fasting GB looks
Not distended Thicker walls Can be mistaken fr bowell or pathology Lumen small and anechoic and can have echoes
29
Patient minimum fasting
4 hours