Notesale: Turn your study into money

Document Preview

Extracts from the notes are below, to see the PDF you'll receive please use the links above

---

GB ABDOMEN QUIZ#2 100%ACCURATE
ANSWERS
...
- CORRECT ANSWER -neck
...
- CORRECT
ANSWER -concentrate , store

An infundibulum at the neck of the GB where stones may collect is a variant
called a ______ _______
...
The echoes move along with a change in patient position
...
Unlike
gallstones, polyps should not produce an acoustic _______ and should not
________ when the patient changes position - CORRECT ANSWER -shadow,
move

_________ are seen in up to 95% of cases of gallbladder carcinoma
...
- CORRECT ANSWER -Gallstones,
cholecystitis, procelain

________ _______ may be used to look for internal vascularity in a
suspected gallbladder mass and to distinguish sludge from a malignant
mass - CORRECT ANSWER -Color Doppler

The most common hyperplastic cholecystoses are _________ and
__________ - CORRECT ANSWER -adenomyomatosis, cholesterosis

A gallbladder that is enlarged, thin walled and not tender that is caused by
a mass in the pancreatic head obstructing the common bile duct is called CORRECT ANSWER -Courvoisier Gallbladder

A _______ _______ is a distended gallbladder caused by an obstruction
of the gallbladder neck or cystic duct - CORRECT ANSWER -Hydropic
gallbladder

Patient with a biliary system obstruction typically with symptoms of
______ ______, ________,__________ and elevated _______ or
_______ _________
...
- CORRECT ANSWER -inner, inner, 8

________ ________ can help distinguish dilated ducts from hepatic
vessels - CORRECT ANSWER -Color Doppler

Stones within the biles duct s is called - CORRECT ANSWER choledocholithiasis

Primary malignancy of the biles ducts is called - CORRECT ANSWER cholangiocarcenoma

The most common location for cholangiocarcinoma to occur is at the portal
hepatis
...
Explain how each
of your examples could cause an incorrect diagnosis - CORRECT ANSWER False positive- bowel gas, junctional fold
False negative- stones within the Phrygian cap or Hartman's pouch,
mistaking a thin layer of gas for stones

Describe the protocol for a US exam of the biliary tree
...
b
...
Sonogram shows:
NL GB and a cystic mass in the porta hepatis that appears to be separate
from the GB
...
What is the
diagnosis? - CORRECT ANSWER -Choledochal cyst

2 week old infant presents with sudden onset jaundice
...
What
congenital biliary anomaly is most likely the cause - CORRECT ANSWER Biliary atresia

Name symptoms of GB disease - CORRECT ANSWER -Nausea, vomiting,
Epigastric or RUQ pain, pain that radiate to the shoulder

The majority of gallstones cause what - CORRECT ANSWER -Do not cause
symptoms

GB polyps will - CORRECT ANSWER -not move depending on position, will not
show shadow, are made of cholesterol, are usually attached to the wall of
the GB by a stalk

What is the most common malignancy to metastasize in the GB - CORRECT
ANSWER -melanoma

A comet tail artifact is seen originating from the anterior GB wall
...
The GB is enlarged with a thin wall
...
No
gallstones are seen and the bile ducts are NL in caliber
...
An
irregular mass is seen projecting in to the gallbladder lumen
...
Gallstones are also seen
...
- CORRECT ANSWER -Intrinsic wall
thickening is caused by pathologies within the biliary system, such as

cholecystitis, adenomyomatosis, polyps or gallbladder carcinomas
...
- CORRECT ANSWER Enlarged GB, thin walled, Negative Murphy sign, has a mass at the head of
the pancreas obstructing the CBD



---