REVIEW - BILIARY Flashcards
Charcots Triad
Fever
Jaundice
RUQ pain
(acute bacterial cholangitis - stone distal CBD)
Symptoms related to biliary obstruction
Fever
Jaundice
Abscess
Mirizzi syndrome
Fever
Jaundice
Obstruction CHD
Fistula between cystic duct & CHD
causes of GB wall thickening (generalized edematous states-4)
congestive heart failure
renal failure
end-stage cirrhosis
hypoalbumena
causes of GB wall thickening (inflammatory conditions-7)
acute cholecystitis cholangitis chronic cholecystitis acute hepatitis perforated duodenal ulcer pancreatitis diverticulitis/colotis
causes of GB wall thickening (neoplastic conditions/misc-4)
GB adenocarcinoma
Mets
Adenomyomatisis
Mural varicosities
6 common polypoid masses of GB
cholesterol polyp inflammatory polyp adenoma focal adenomyomatosis GB carcinoma Mets
most commonly seen GB polypoid mass
cholesterol polyp
criteria used for benignity polyp
multiple masses
<10 mm
no change in size
describe cholesterol polyp
multiple
ovoid
non-shadowing lesions attached to wall
non-mobile
cancer that metastasizes to GB 50% of time
melanoma
What is the appearance of a GB adenocarcinoma compared to?
polypoid mass
difference in sono appearance of adenoma and cholesterol polyp
hyperechoic, broad based polypoid lesions
singular
>10 mm diameter
hypervascularity
What hepatic malignancy can spread to GB?
HCC
“trapped stone” sign
immboile stone engrossed in tumour - indicates carcinoma
