Kehrs sign
In splenic artery aneurysm…. referred pain in left shoulder tip
Calots triangle
Cystic artery
Cystic duct
Common hepatic duct
Hepatocystic triangle
Interior edge of liver
Common hepatic duct
Cystic duct
Content of calots triangle
Cystic lymph node of lund
(Sentinel lymph node of gallbladder)
Moynihans hump
Tortuous right hepatic artery
Significance of R4U line
CBD located below the line
So lap cholecystectomy to be done above the line
Gall bladder lacks
Submucosa
It contains subserosal lymphatics
Phrygian cap
A normal physiological variant of gall bladder
Brown pigment stone seen in
Seen in infected bile
Ascariasis infection
Clonorchis
Cholangitis
Brown pigment stone composition
Calcium palmitate
Calcium stearate
Calcium bilirubinate
Black pigment stones seen in
Hemolytic disorders like g6pd
Sickle cell anemia
Black pigment stone composition
Insoluble bilirubin pigment
Calcium carbonate
Seagull sign and Mercedes Benz sign
Biradiate stone and triradiate stone
Porcelain gall bladder
Calcification of gallbladder wall
Murphy’s sign
Pressing on right hypochondrium…. patients catches pain in acute cholecystitis
Boas sign
Hyperesthesia over the region of 12th rib in acute cholecystitis
