lecture 10-part 2-GB

Question 1

Question 2

Question 3

Answer 3

Question 4

Gall Bladder: Surface Anatomy

Answer 4

• On visceral surface of liver
• Associated with quadrate lobe
• Fundus extends lower than antero-inferior margin of liver
• Reservoir for bile; capacity 50ml
• Fundus of gall bladder inferior to 9th costal cartilage on the R side midclavicular line

Question 5

Parts of the Gall bladder

Answer 5

Fundus, body, neck

Question 6

Cystic duct:

Answer 6

Spiral valve/fold
5 – 12 folds
Not a true valve

Question 7

Gall bladder is part of

Answer 7

biliary tree

Question 8

Question 9

Gallbladder and biliary tree

Answer 9

Question 10

Extrahepatic Biliary system

Answer 10

Question 11

Innervation of GB

Answer 11

Sympathetic T7-9
Parasympathetic vagus

Question 12

Lymphatics

Answer 12

Liver lymph: Hepatic nodes
Gall bladder: Cystic & coelic nodes

Question 13

Gall Stones

Answer 13

Gallstones may lodge in the neck, cystic duct, common bile duct or at the papilla
Bile cannot drain into te 2nd part of the duodenum
Due to stretching of the gall baldder or ducts it is associated with pain, jaundice, but
often asymptomatic
Biliary colic in right upper quadrant pain following fatty meal
Cholecystitis: Inflammation, pain is often associated with nausea, vomiting or fever

Pain:
Right subcostal or epigastric pain radiating to back or lower pole of scapula lasting for 20 minutes to 6 hours
Similar to liver distribution