Pathology #2 Flashcards by lindsay crouse

Based in the images, where is the obstruction?

MPV thrombosis with dilated portal branches in the liver
distal CBD
distal hepatic duct
cystic duct

distal CBD

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Which of the following biliary conditions is associated with the formation of Rokitansky-Aschoff sinuses?

emphysematous cholecystitis
adenomyomatosis
pneumobilia
choledochal cyst

adenomyomatosis

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Which of the following correctly describes the abnormal response seen on an ultrasound exam when a fatty meal is given to a patient with suspected biliary obstruction?

if a biliary obstruction is present, the bile duct diameter will increase immediately after the meal

the cystic duct dilates to allow for a detailed lumen evaluation for a possible stone

if a biliary obstruction is present, the bile duct diameter will decrease immediately after the meal

if a biliary obstruction is present, the bile duct diameter will remain unchanged immediately after the meal

if a biliary obstruction is present, the bile duct diameter will increase immediately after the meal

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A patient presents for an abdominal US to further evaluate findings identified on a CT exam. The CT report indicates numerous cystic structures throughout the liver that communicate with the biliary tree. Which of the following could be used to describe the expected US diagnosis?

Wilson disease
polycystic liver disease
Caroli disease or choledochal cysts
choledochal cysts or polycystic liver disease

Caroli disease or choledochal cysts

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A 56 year old male presents with a history of abdominal pain. Lab testing demonstrates isolated leukocytosis. He had a recent colonoscopy that demonstrated left sided ulcerative colitis. These ultrasound findings are most suggestive of:

sclerosing cholangitis
HIV cholangitis
cholangiocarcinoma
HA stenosis

sclerosing cholangitis

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Primary GB carcinoma most commonly presents as:

focal wall mass without stones
enlarged GB surrounded by fluid
small GB with thickened walls
diffusely thickened GB wall with stones

diffusely thickened GB wall with stones

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Numerous liver cysts with the central dot sign are most suggestive of:

hemorrhagic cysts
Caroli disease
Von Meyenburg complexes
polycystic liver disease

Caroli disease

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This patient has an increased risk of developing:

porcelain GB
GB metastasis
Marfan syndrome
nephrolithiasis

porcelain GB

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Which of the following can lead to a false positive diagnosis of stones in the biliary system?

rejection setting too high
decreased color Doppler gain
shadowing from surgical clip in porta hepatis
improperly decreased TGC settings

shadowing from surgical clip in porta hepatis

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Chronic cholecystitis is commonly associated with:

GB carcinoma
polyps
pancreatic head mass
increased RBC count

GB carcinoma

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Because there is a risk of cholangiocarcinoma with all cases of ___, surgical resection is recommended.

choledocholithiasis
mucocele of the GB
cholelithiasis
choledochal cysts

choledochal cysts

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Diffuse or focal GB wall thickening may be seen with all of the following, EXCEPT:

adenomyomatosis
acute cholecystitis
carcinoma of the GB
courvoisier GB

courvoisier GB

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An US demonstrates a non-shadowing, non-mobile, echogenic foci within the GB that most likely represents:

polyp
calculus
sludge ball
porcelain GB

polyp

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Primary sclerosing cholangitis significantly increases the risk of developing:

hepatic lipoma formation
pancreatic carcinoma
klatskin tumor
cholangiocarcinoma

cholangiocarcinoma

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RUQ pain, positive Murphy sign, and fever are common clinical signs of:

ascites
acute cholecystitis
adenomyomatosis
appendicitis

acute cholecystitis

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Which of the following causes of diffuse dilatation of the intrahepatic biliary tree, without dilatation of the extrahepatic biliary tree?

Brenner tumor
mass at the valves of Heister
mass at the Ampulla of Vater
klatskin tumor

klatskin tumor

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Which of the following biliary conditions is the most common cause of acute cholecystitis?

pancreatitis
mass in the duodenum
stone lodged in cystic duct
hepatitis

stone lodged in cystic duct

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Distal cholangiocarcinoma is most commonly found ___ and a klatskin tumor is most commonly found ___.

in the left lobe, in the right lobe

near the dome of the liver, in the CBD near the porta hepatis

at the junction of the right and left hepatic ducts, outside the liver in the CBD

in the extrahepatic CBD near the porta hepatis, at the junction of the right and left hepatic ducts

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What is the most likely cause for the findings on the image?

hepatitis
chronic cholecystitis
acute cholecystitis
CHF

CHF

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Which of the following abnormalities is associated with the production of milk of calcium bile?

cirrhosis
chronic cholecystitis
hepatoma
acute cholecystitis

chronic cholecystitis

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Which of the following statements is true regarding the image displayed?

the MPV is significantly dilated, most likely due to PHTN

the GB is normal in appearance but the CBD is significantly dilated

the GB contains a stone and the MPV is significantly dilated

the GB wall demonstrates a solid mass and the CBD is significantly dilated

the GB wall demonstrates a solid mass and the CBD is significantly dilated

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A 45 year old female patient presents with nausea and vomiting, RUQ pain, fever, and increased WBC. The GB is enlarged and filled with echogenic material that does not shadow or demonstrate fluid levels. These findings are most consistent with:

emphysematous cholecystitis
adenomyomatosis
empyema of the GB
porcelain GB

empyema of the GB

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Which of the following is a congenital defect that causes bile stasis, impairs liver function and is associated with medullary sponge kidney and hepatic fibrosis?

choledocholithiasis
choledochal cyst
Caroli disease
Bouveret syndrome

Caroli disease

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Which of the following is a true statement regarding the displayed image?

the GB is contracted with thickened walls and polyp formation caused by adenocarcinoma

the GB is contracted with thickened walls and polyp formation caused by adenomyomatosis

the GB is contracted and contains multiple shadowing stones within the lumen

the GB is contracted with thickened walls and pus formation caused by infection

the GB is contracted with thickened walls and polyp formation caused by adenomyomatosis

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What is the most common cause of pneumobilia? pancreatitis GB perforation ERCP biliary duct stones

ERCP

An inflammation of the biliary tree common in HIV patients is called: HIV cholangitis primary sclerosing cholangitis pneumobilia bacterial cholangitis

HIV cholangitis

What two acoustic artifacts are associated with biliary hamartoma formation in the liver? reverberation and shadowing shadowing and speed propagation enhancement and speed propagation comet tail and twinkle

comet tail and twinkle

The most common finding with choledochal cysts is: cyst formation at the ampulla of Vater cystic dilatation of the CBD cystic dilatation of multiple intrahepatic ducts cyst formation on the fundus of the GB

cystic dilatation of the CBD

A cholecochal cyst is: outpouching in the GB wall complication of a portal thrombosis associated with angiomyolipoma focal dilatation of the biliary tree

focal dilatation of the biliary tree

Which of the following is associated with prolonged fasting? pyloric stenosis steatosis splenosis GB sludge

GB sludge

What biliary abnormality is a common finding in patients with hemolytic anemia? cholelithiasis adenomyomatosis cholecystitis gangrenous cholecystitis

cholelithiasis

Which of the following would present with no signs of jaundice? mucocele of the GB a stone at the ampulla of Vater hepatitis sphincter of Oddi dysfunction

mucocele of the GB

What is the most common cause of cholangitis? adenomyomatosis choledocholithiasis klatskin tumor AIDS

choledocholithiasis

Which of the following correctly describes how to differentiate cholangitis from cholangiocarcinoma? cholangitis leads to dilated extrahepatic ducts while cholangiocarcinoma leads to dilated intrahepatic ducts cholangitis is a focal disease process while cholangiocarcinoma causes diffuse mass formation cholangitis leads to dilated intraheptic ducts while cholangiocarcinoma leads to dilated extraheptic ducts cholangitis is a diffuse disease process while cholangiocarcinoma causes focal mass formation

cholangitis is a diffuse disease process while cholangiocarcinoma causes focal mass formation

A 64 year old patient presents with painless jaundice. The GB is over-distended with a biliary obstruction at the level of the ampulla of Vater. Which of the following best describes this condition? Mirizzi syndrome Courvoisier sign hydropic GB choledochal cyst

Courvoisier sign

While scanning the GB, you notice several echogenic foci within the mildly thickened wall that do not demonstrate reverberation artifact. These findings are most suggestive of: adenomyomatosis cholesterolosis secondary GB carcinoma chronic cholecystitis

cholesterolosis

A patient presents for a 2 month follow up for liver transplant. Lab tests indicate abnormal LFTs, increased bilirubin and jaundice. The US exam demonstrates a new focal dilatation of the bile duct at the porta hepatis with mildly dilated intrahepatic ducts just inside the liver. The pancreas is normal. These findings are most consistent with: mass in the ampulla of Vater Budd Chiari biliary stricture choledochal cyst

biliary stricture

If pneumobilia is suspected, visualization of what acoustic artifact would support that diagnosis? posterior enhancement slice thickness range resolution ringdown

ringdown

What term describes a GB that is filled with bile is isoechoic to the liver and is difficult to identify on ultrasound? Charcot triad Courvoisier GB hepatization Mirizzi syndrome

hepatization

Which of the following is the most likely cause for the findings on the image? Kaposi sarcoma, intrahepatic obstruction portal thrombosis at the porta hepatis cystic duct obstruction tumor of the ampulla of Vater

tumor at the ampulla of Vater ** GB is enlarged with internal debris with intrahepatic ductal dilatation = extrahepatic obstruction

Cholelithiasis without cholecystitis is most likely to be seen in a patient with: a history of recent abdominal surgery AIDS a history of a prolonged low fat diet sepsis

a history of a prolonged low fat diet

Which of the following describes how to differentiate tumefactive sludge from GB carcinoma? use color Doppler over the area of interest give the patient a fatty meal and rescan turn off harmonic imaging ask the patient to perform the Valsalva maneuver

use color Doppler over the area of interest

A 66 year old female presents for an abdominal ultrasound due to bloating and pain following a recent cholecystectomy. The bile ducts demonstrate varied levels of increased echogenicity with dirty shadowing and ringdown artifact posterior to several segments. These findings are most consistent with: cholangiocarcinoma pneumobilia choledocholithiasis sclerosing cholangitis

pneumobilia ** dirty shadowing and ringdown artifact are associated with the presence of air/tissue interface

The twinkle artifact is an expected finding in cases of: MCDK ADPKD adenomyomatosis renal carbuncle

adenomyomatosis

Cholelithiasis without cholecystitis is a common finding in patients with ___, while cholecystitis without cholelithiasis is a common finding in patients ___. CHF, with sepsis on long-term total parenteral nutrition, on a consistently low fat diet a consistently low fat diet, on long-term total parenteral nutrition a consistently high diet, on a consistently low fat diet

a consistently low fat diet, on long-term total parenteral nutrition

A patient presents for an abdominal ultrasound due to nausea and vomiting. While scanning the GB, the patient asks you to take a break due to the pain caused by the transducer pressure. How should you report this to the radiologist? patient uncooperative, unable to efficiently perform the exam positive Homan sign positive Morrison sign positive Murphy sign

positive Murphy sign

A porcelain GB causes an increase in the patient's risk for ___. adenomyomatosis choedocholithiasis primary carcinoma sclerosing cholangitis

primary carcinoma

A patient presents for an abdominal ultrasound for pain. The chart holds a recent x-ray report that states there is a possible porcelain GB present. How will this abnormality appear on the ultrasound exam? the GB wall will demonstrate varied levels of linear calcification the GB will be hydropic with a thickened wall and an increased risk of rupture there is a single large stone present with a thickened GB wall the GB will be completely packed full of small stones

the GB wall will demonstrate varied levels of linear calcification

A patient presents with a low grade fever, leukocytosis, nausea, diarrhea and LLQ pain. What is the most likely explanation for the findings on the image? biliary stricture in the cystic duct mass at the ampulla of Vater primary sclerosing cholangitis Caroli disease

primary sclerosing cholangitis

The GB wall is asymmetrically thickened with hypervascularity and perfusion defects noted on color Doppler evaluation. Intraluminal membranes and sludge are also present. What is the most likely cause for these findings? cholesterolosis chronic cholecystitis gangrenous cholecystitis adenomyomatosis

gangrenous cholecystitis

Which of the following is caused by infection or ischemia of the GB wall? Hartmann pouch adenomyomatosis Bouveret syndrome membranous gangrenous GB

membranous gangrenous GB

All of the following terms can be used to describe the findings on the image, EXCEPT: adenomyomatosis strawberry GB hyperplastic cholecystosis cholesterolosis

adenomyomatosis

A patient presents with RUQ pain after a recent endoscopy procedure. The findings on the image are most suggestive of: retained surgical instruments choledocholithiasis surgical clips pneumobilia

pneumobilia

Which of the following statements regarding GB sludge is NOT true? sludge can appear as varied layers of echogenic material in the GB lumen tumefactive sludge can have a sonographic appearance similar to GB carcinoma changing patient position and rescanning the GB ca differentiate sludge from artifact GB sludge is always associated with wall thickening

GB sludge is always associated with wall thickening

Which of the following biliary abnormalities would be an acute complication caused by a bacterial infection of the GB? emphysematous cholecystitis adenomyomatosis porcelain GB strawberry GB

emphysematous cholecystitis

A patient presents with intermittent RUQ pain and nausea. No lab information was available at the time of the ultrasound exam. The findings on the image are most suggestive of: empyema of the GB GB mestastasis primary GB carcinoma tumefactive sludge

GB metastasis ** most commonly presents as an intraluminal mass without associated stones

If gallstone impaction is suspected: scan the patient in multiple positions to attempt to move the stone place the patient in the LLD position and ask the patient to perform the Valsalva maneuver to attempt to move the stone place the patient in the LLD position and tap the patient's back between the scapulas with the base of your wrist to attempt to move the stone ask the patient to stand during the exam and perform the Valsalva maneuver to attempt to move the stone

scan the patient in multiple positions to attempt to move the stone

A patient with choledochal cysts has an increased risk of developing ___. PHTN cholangiocarcinoma polycystic liver disease biliary atresia

cholangiocarcinoma

Which image demonstrates a GB with characteristics of adenomyomatosis?

A 4 month old presents for an abdominal ultrasound following a recent Kasai procedure. Which of the following ultrasound findings would indicate the procedure was a success? echogenic graft connecting the hepatic and portal venous systems in the liver with flow velocity greater than 40cm/s normal liver echotexture with normal biliary duct diameter echogenic mesh in the abdominal wall used to close an umbilical hernia echogenic mesh in the abdominal wall used to close an inguinal hernia

normal liver echotexture with normal biliary duct diameter

Which of the following describe how to differentiate adenomyomatosis of the GB from cholesterolosis of the GB? the polyps in cholesterolosis do not exhibit the comet tail artifact but polyps with adenomyomatosis do the polyps in adenomyomatosis do not exhibit the comet tail artifact but polyps with cholesterolosis do adenomyomatosis is usually focal process and cholesterolosis is a diffuse process adenomyomatosis is usually a diffuse process and cholesterolosis is a focal process

the polyps in cholesterolosis do not exhibit the comet tail artifact but polyps with adenomyomatosis do

What structure is indicated by #3? CBD MPV IVC splenic vein

MPV

An 85 year old patient presents with a history of epigastric pain. Lab values are normal. The exam demonstrates normal intrahepatic ducts and a 10mm CBD that appears patent. The pancreas appears normal. What is the most likely reason for the 10mm CBD? the obstruction in the CBD must be due to biliary stricture which is hard to visualize sonographically the patient most likely has PHTN which can cause ductal dilatation the CBD normally dilates with age cholangitis usually only affects the CBD and can lead to a focal extrahepatic dilatation

the CBD normally dilates with age

Which of the following correctly describes how to differentiate a large gallstone ( >3cm ) from a porcelain GB? a large gallstone and porcelain GB are not easily differentiated sonographically the posterior wall of the GB can be evaluated in patients with porcelain GB but not in patients with a large stone a gallstone will demonstrate significant posterior shadowing but there is no shadowing associated with the wall calcification seen with a porcelain GB the gallstone can be located in any part of the GB while porcelain calcification only affects the GB fundus

the posterior wall of the GB can be evaluated in patients with porcelain GB but not in patients with a large stone

Acaculous cholecystitis is a common finding in all of the following, EXCEPT: AIDS a history of a prolonged low fat diet sepsis a history of recent abdominal surgery

a history of a prolonged low fat diet

What structure is indicated by #1? MPV CBD splenic vein HA

CBD

The bile duct diameter should be measured with the calipers placed from: inner wall to outer wall inner wall to inner wall leading edge to leading edge outer wall to outer wall

inner wall to inner wall

Acute cholecystitis can lead to a prominent ___ and its branches with color Doppler evaluation of the thickened GB wall. LHA proper HA common HA cystic artery

cystic artery

An impacted stone in the GB neck increases the risk of developing: cholecystitis and gangrene stones and dilatation in the intrahepatic ducts stones and dilatation in the extrahepatic ducts adenomyomatosis and polyp formation

cholecystitis and gangrene

A 6 year old female presents with recent weight loss and mild jaundice. Lab values demonstrate normal WBC levels, but increased levels of direct bilirubin, ALP and PT. The GB demonstrates a small wall mass that is isoechoic to the wall tissues. The wall measures 4.5mm in maximum thickness. Multiple stones are present within the lumen. Which of the following best describes the findings on the image? acute cholecystitis, polyp formation and cholethiasis primary GB carcinoma and cholelithiasis acute cholecystitis and cholelithiasis adenomyomatosis

primary GB carcinoma and cholelithiasis

A patient has a history of adenomyomatosis of the GB. What acoustic artifact is expected to be present on the US images of the GB? volume averagig mirror image side lobe comet tail

comet tail

Mirizzi syndrome is caused by obstruction of the ___, while Courvoisier GB is related to obstruction of the ___. cystic duct, distal CBD intrahepatic CBD, extrahepatic CBD proximal CBD, distal CBD distal CBD, cystic duct

cystic duct, distal CBD

The WES sign indicates a diagnosis of: cholelithiasis porcelain GB GB adenocarcinoma tumefactive sludge

cholelithiasis

What biliary anomaly is suspected if jaundice persists more than 14 days after birth? choledochal cyst biliary atresia agenesis of the GB ectopic GB

biliary atresia

Which of the following are types of hyperplastic cholecystosis? adenomyomatosis and cholesterolosis perforation and pericholecystic fluid cholelithiasis and choledocholithiasis sludge and tumefactive sludge

adenomyomatosis and cholesterolosis

An otherwise asymptomatic patient presents for an abdomen ultrasound due to elevated LFTs. The GB demonstrates thickened walls with an irregular internal contour. Several small echogenic foci are noted within the wall and each exhibits a comet tail artifact. Which of the following conditions is identified on this exam? cholesterol polyps emphysematous cholecystitis chronic cholecystitis adenomyomatosis

adenomyomatosis

A patient presents with RUQ pain and nausea 1 week post-cholecystectomy. The findings on the image are most suggestive of: pneumobilia abscess formation in GB fossa porcelain GB biloma formation in GB fossa

abscess formation in GB fossa ** note the irregular mass in the fossa with echogenic foci, debris, and dirty shadowing consistent with pus formation and air pockets from the bacteria

Which of the following statements best describes the findings on the image? there is a polyp located on the posterior wall of the GB fundus there is a polyp located on the inferior wall of the GB neck there is a polyp located on the inferior wall of the GB fundus the GB demonstrates a cholesterol polyp with the comet tail artifact

there is a polyp located on the inferior wall of the GB neck

Which type of GB disease is more common in males and diabetic patients? chronic cholecystitis cholangitis emphysematous cholecystitis GB perforation

emphysematous cholecystitis

Acute cholecystitis is associated with GB wall thickening ___. Cholangitis is associated with ductal wall thickening ___. >2mm, >3mm >3mm, >2mm >3mm, >5mm >6mm, >3mm

>3mm, >2mm

Which of the following is NOT true regarding milk of calcium bile? lumen filled with highly echogenic material with shadowing related to hyperfunction of the GB layering of bile/calcium with change of patient position also called limey bile

related to hyperfunction of the GB

GB polyps measuring greater than ___ in diameter are highly suspicious for malignancy. 5mm 10mm 15mm 20mm

10mm

A 6 month old Asian female presents with jaundice and fever. While scanning the liver, you note a 1cm anechoic, round dilatation of the extrahepatic CBD at the porta hepatis. Color Doppler does not demonstrate flow within the structure. Which of the following is the most likely diagnosis? choledochal cyst pneumobilia cholangitis pseudoaneurysm of the HA

choledochal cyst

Tumefactive sludge can be found in: renal pelvis paracolic gutters GB gastric antrum

A new liver mass in a patient with sclerosing cholangitis should cause suspicion of: the development of schistosomiasis the development of cholangiocarcinoma a peribiliary leak PHTN

the development of cholangiocarcinoma

Jaundice is a complication of: steatosis and hemangiomas ductal obstruction and RBC destruction steatosis and polycystic liver disease ductal obstruction and WBC destruction

ductal obstruction and RBC destruction

Which of the following is a cause of parasitic cholangitis? biliary ascariasis ulcerative colitis HIV infection gram negative bacteria

biliary ascariasis

Which of the following is associated with the findings on the image displayed? adenocarcinoma formation in the pancreatic head obstruction of the ampulla of Vater Krukeberg tumor formation in the duodenum more than one of the above

more than one of the above

A non-infectious cause of acalculous cholecystitis is ___ and an infectious cause of acalculous cholecystitis is ___. HIV, viscous bile CHF, total parenteral nutrition total parenteral nutrition, HIV viscous bile, Mirizzi syndrome

total parenteral nutrition, HIV

Which of the following is least likely to be associated with GB sludge? cystic duct obstruction elevated cholecystokinin levels fasting alcoholism

elevated cholecystokinin levels

An infant is referred for an abdominal sonogram due to prolonged jaundice after birth. A small triangular echogenic area is identified at the portal vein bifurcation, but no definite extrahepatic duct is noted. The GB is very small and abnormally shaped. These findings are most suggestive of: biliary atresia Caroli disease biliary ascariasis choledochal cyst

biliary atresia

A choledochocele is: a collection of bile that forms around a perforated GB a cyst of the intraduodenal portion of the duct a type of cyst that forms at the terminal ducts in the biliary tree an intrahepatic collection of bile that forms around a major branch of the biliary tree

a cyst of the intraduodenal portion of the duct

What structure is indicated by #2? CBD MPV HA splenic vein

A 35 year old male patient presents for a RUQ ultrasound due to pain, increased ALP and conjugated bilirubin. You identify dilated intrahepatic ducts in both lobes of the liver, while CBD and GB appear within normal limits. Which of the following describes the cause of these findings? stone in the right hepatic duct stone in the common hepatic duct stone in the left hepatic duct biliary atresia

stone in the common hepatic duct ** dilated intrahepatic ducts = obstruction at the CHD

Tumefactive sludge would demonstrate a sonographic appearance similar to all of the following, EXCEPT: membranous gangrenous cholecystitis secondary GB carcinoma benign polyp primary GB carcinoma

membranous gangrenous cholecystitis

The complications caused by a large gallstone in the duodenum obstructing the gastric outlet are collectively referred to as: Courvoisier syndrome Mirizzi syndrome Marfan syndrome Bouveret syndrome

Bouveret syndrome = large gallstone in the duodenum that causes an obstruction of the gastric outlet

A long standing, partial obstruction of the cystic duct will most likely lead to which of the following? mucocele of the GB porcelain GB septated GB Hartmann pouch

mucocele of the GB

Obstruction of the CBD by a pancreatic head mass will lead to: contracted, small GB with normal biliary tree dilated GB and biliary tree contracted, small GB with dilated biliary tree all of the above are potential findings

dilated GB and biliary tree

A biloma is: associated with malignancy of the biliary tree a possible complication of left renal surgery a collection of bile in the peritoneal cavity a congenital malformation of the biliary tree

a collection of bile in the peritoneal cavity

If the common hepatic duct is obstructed, how will this affect the other biliary structures? contracted GB and dilated intrahepatic ducts dilated GB and dilated intrahepatic ducts dilated extrahepatic ducts contracted GB and dilated extrahepatic and intrahepatic ducts

contracted GB and dilated intrahepatic ducts

A patient presents for an abdomen ultrasound with RUQ pain, nausea, fever, and leukocytosis. An abnormal enlarged GB demonstrates thickened walls at 1.2cm. An anterior segment of the wall is echogenic and ringdown artifact and dirty shadowing are present posterior to this area. Which of the following conditions is identified on this exam? emphysematous cholecystitis adenomyomatosis chronic cholecystitis cholesterol polyps

emphysematous cholecystitis

Bacterial cholangitis is nearly always seen with: HIV cholangitis ductal obstruction by a stone or tumor ulcerative colitis biliary ascariasis

ductal obstruction by a stone or tumor

Which of the following GB abnormalities have a very similar appearance on ultrasound evaluation and clinical history is necessary for differentiation? chronic cholecystitis and Courvoisier GB porcelain GB and tumefactive sludge acalculous cholecystitis and adenomyomatosis hemobilia and sludge

hemobilia and sludge

Pathology #2 Flashcards

(103 cards)