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DMS333-PH4
USIDMS GB/Biliary tree
| Question | Answer |
|---|---|
| The GB is located where? | On visceral surface of liver between left and right lobes |
| Blood supply of GB is the _____, a branch of the right hepatic artery. | cystic artery |
| What are 3 anatomic areas of the GB? | Neck, body, fundus |
| Small intrahepatic ducts travel ______ to hepatic arteries and portal vein branches. | parallel |
| CBD is formed by union the of ____and ____. | CHD and cystic duct |
| The CBD travels _______ and _____ to the lateral side of pancreatic head. | inferior and posterior |
| Below the pancreatic head, the CBD narrows to join the ________? | pancreatic duct |
| The CBD and pancreatic duct together, empty into what? | Ampulla of Vater |
| Union of both pancreatic duct and common bile duct and ampulla are surrounded by muscle fibers called what? | Sphincter of Oddi |
| What are 3 functions of the GB? | Storage of bile Concentration of bile Delivery of bile to duodenum |
| When the GB folds over at the neck, this is called what? | Hartmann's pouch |
| Cholelithiasis is more common in patients with 5 F's. Which are what? | fat, female, fertile, fair, forty |
| 2 types of Hyperplastic Cholecystosis? | Adenomyomatosis-hypertrophy of GB wall (comet tail appearance) Cholestrolosis- cholesterol polyps on GB wall |
| Fluid around the wall of the GB is called? | Pericholecystic fluid |
| Gas that is produced within the GB wall from infection -E Coli. It causes "dirty shadowing"? | Emphysematous Cholecystitis |
| Thickened material within GB lumen caused by bacteria containing bile? Associated with acute cholecystitis. | Empyema of the Gallbladder |
| Cystic dilation of biliary tree, classified according to anatomy involved? | Choledochal cyst |
| Most common obstructive biliary disease in infants? Incomplete formation of ductal system. | Biliary Atresia |
| Increased pressure in biliary system causes pus to form resulting in what pathology? Acute infection is a medical emergency. | Cholangitis |
| What is termed air or gas in the biliary tree? | Pneumobilia |
| Cholangiocarcinoma near porta hepatis, tumor forms where right and left hepatic duct converge to form CHD? | Hilar/Klatskin tumor |