CONTRAST EP 2 (Serranilla) > Biliary System > Flashcards

Biliary System Flashcards

(55 cards)

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1
Q

What is the body system responsible for making, storing, and transporting bile ?

A

Biliary System

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2
Q

How much bile is produced by the liver per day ?

A

800 - 1,000 mL per day

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3
Q

It is the largest solid organ in the human body, located in the RUQ

A

Liver

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4
Q

It functions to store the bile temporarily

A

Gall Bladder

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5
Q

This helps in the digestion of fats by breaking them down via emulsification

A

Bile

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6
Q

Why is the right diaphragm higher than the left diaphragm ?

A

Because of liver size and capacity

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7
Q

When the right and left hepatic duct combines, they are collectively called as:

A

Common Hepatic Duct

(Right Hepatic Duct + Left Hepatic Duct = Common Hepatic Duct)

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8
Q

When the Common Hepatic Duct joins the Cystic Duct, they are collectively known as

A

Common Bile Duct

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9
Q

When the Common Bile Duct joins the Pancreatic/Wirsung’s Duct, they collectively form the

A

Ampula of Vater

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10
Q

The gallbladder is a _____-shaped sac, measuring ____ - ____ long

A
  1. Pear-shaped
  2. 7-10 cm long
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11
Q

PARTS OF THE GALLBLADDER

Narrows into cystic duct

A

Neck

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11
Q

PARTS OF THE GALLBLADDER

Broad end

A

Fundus

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12
Q

PARTS OF THE GALLBLADDER

Main section

A

Body

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13
Q

GALLBLADDER CONDITIONS

Due to cysts in the mucosa

A

Fish Scale GB

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14
Q

GALLBLADDER CONDITIONS

Roughened surface, often with gallstones

A

Sandpaper GB

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15
Q

GALLBLADDER CONDITIONS

Cholesterol deposits

A

Strawberry GB

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16
Q

GALLBLADDER CONDITIONS

Enlarged gallbladder, often linked to pancreatic cancer and jaundice

A

Courvoisier GB

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17
Q

In _______ patients, the GB moves upward and outward during expiration

A

Hypersthenic

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18
Q

In ________ patients, the GB moves downward and inward during inspiration

A

Asthenic

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19
Q

The Ampulla of Vater is controlled by the _____ that relaxes when CCK hormone increases

A

Sphincter of Oddi

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20
Q

It is the study of the gallbladder

A

Cholecystography

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21
Q

It is the study of the biliary ducts

A

Cholangiography

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22
Q

It is the study of both GB and ducts

Study These Flashcards
A

Cholecystangiography

23
Q

It is the condition of having gallstones

Study These Flashcards
A

Cholelithiasis

24
These pertain to gallstones medically
Choleliths
25
It is the condition pertaining to the inflammation of the gallbladder
Cholecystitis
26
It is the surgical removal of the gallbladder
Cholecystectomy
27
A ________ LAO rotation helps in the separation of the GB from the spine during imaging of hypersthenic patients
15-20 °
28
How much rotation is used for sthenic or hyposthenic patients to visualize the GB found halfway between the xiphoid process and lower rib margin
20-25 °
29
It is one of the most common radiographic studies which aims to study both the anatomy and function of the biliary system
Oral Cholecystogram (OCG)
30
These are rare but aggressive tumors, often associated with gallstones
Biliary Neoplasms
31
It is the narrowing of the bile duct, causing jaundice or choelecystitis
Biliary Stenosis
32
How many tablets of CM must be ingested the evening before the examination ?
4-6 Tablets
33
It is the most widely used CM/agent taken with 6 capsules with each containing 500 mg
Sodium Ipodate (Biloptin)
34
It the oral CM used for visualization of the GB
Iopanoic Acid (Telepaque)
35
X-rays for OCG are taken using _____ - _____ kVp
70-80 kVp
36
In a PA Projection for OCG, the CR is perpendicular to the level of ______
L2 (1/2 - 1 inch above the lowest margin of rib cage) and 2 inches to right of MSP
37
Milk Calcium Bile is best demonstrated with what projection ? A. AP B. PA C. RAO D. RPO
B. PA
38
What is the best position to demonstrate the GB away from vertebral column, less foreshortened, and less overlapped A. AP B. PA C. RAO D. LAO
D. LAO
39
Which position differentiates gallstones from renal stones or calcified lymph nodes and the GB clearly away from vertebral column and bowel loops ? A. AP B. PA C. Right Lateral D. Left Lateral
C. Right Lateral
40
This projection demonstrates the mobility of the GB and layering of stones, additionally differentiating tumors from cholesterol stones. A. AP Supine B. PA Upright C. Right Lat Decubitus D. Left Lateral
B. PA Upright
41
It is a projection developed by Whelan to show fluid and stone levels in the GB, multiple small stones not visible in other views, and is also useful for layering/stratification of gallstones A. AP Supine B. PA Upright C. Right Lat Decubitus D. Left Lateral
C. Right Lat Decubitus
42
It is a radiographic procedure that allows us to examine the biliary ducts, especially for patients who have already undergone cholecystectomy and if the GB and ducts are not visible in an OCG procedure
Intravenous Cholangiography
43
It is a radiologic exam of the biliary tract performed before surgery
Percutaneous Transhepatic Cholangiography
43
In cases of obstructive jaundice or post-cholecystectomy, what modality is alternatively preferred ? A. X-ray B. Ultrasound C. CT D. MRI
B. Ultrasound
44
TRUE OR FALSE PTC is less invasive because it uses an indirect puncture of the bile ducts with a needle
FALSE PTC is MORE invasive because it uses a DIRECT PUNCTURE of the bile ducts with a needle
45
What type of needle is used for PTC for it is designed for biliary puncture and can also be used to insert a drainage catheter to relieve obstructive jaundice ?
Chiba "Skinny" Needle
46
What type of anesthesia is administered towards the px during PTC ?
Local Anesthesia
47
It is a biliary system imaging examination performed during cholecystectomy to check bile duct patency, function of the sphincter of hepatopancreatic ampulla, and to detect stones not seen earlier
Operative - Immediate Cholangiography
48
This is performed after surgery using a T-tube to check bile duct caliber, patency, assess the sphincter of hepatopancreatic ampulla, and to detect leftover or new stones
Post-Operative Cholangiography
49
How long is fasting for ERCP ?
6-8 Hours
50
It is a special exam of the bile ducts and pancreatic duct using an endoscope and fluoroscopy.
Endoscopic Retrograde Cholangiopancreatography (ERCP)
51
Why is anesthesia for ERCP sprayed on the throat ?
To numb gag reflex
52
Food may be restricted up to _____ hours after ERCP to avoid irritation A. 8 B. 9 C. 10 D. 12
C. 10
53
Trendelenburg may be used for ERCP to enable to CM to fill ______ and Semi-erect for CM to fill _____
Trendelenburg = Intrahepatic Ducts Semi-erect = Lower CBD
CONTRAST EP 2 (Serranilla)
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