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Biliary System

Anatomy and Exams

Bag or sac cysto
Bile ducts cholangio
biliary stenosis narrowing of bile ducts
cholecystitis acut or chronic inflammation of the gallbladder
Cholelithiasis presence of gallstones
Cholangiogram radiographic exam of the biliary ducts
Choledocholithiasis calculus in the common bile duct
Radiographic examination of the gallbladder cholecystogram
PTC percutaneous transhepatic cholangiography; direct puncture of biliary ducts
Choledochus common bile duct
T-tube cholangiography conrast administered via catheter tube left after cholecystectomy
OCG oral cystography; gallbladder demonstrated after administration of oral contrast
Contrast introduced into hepatopancreatic ampulla via cannula inserted through endoscope. ERCP -endoscopic retrograde cholangiopancreatography
Why is it important not to introduce air bubbles with the contrast media? They can be mistaken as radiolucent stones
Bile is produced by the _____. liver
Bile draines from the liver via the _____. Right and left hepatic ducts
The common hepatic duct and the cystic duct form the ________. common bile duct
Where is the gallbladder located? In an imression on the undersurface of the liver.
List three indications for biliary tract examinations. jaundice, stones, stenosis
What is the most common radiographic diagnostic procedure used to study the gallbladder? oral cholesytogram
The common bile duct and the pancreatic duct join and enter which portion of the small bowel? descending duodenum
What is the most common pathological reason for performing an oral cholecystogram? cholelithiasis
A patient that has had their gallbladder removed is known as _____. cholecystectomized patient
These two projections would demonstrate stratification of stones? right lateral decubitus and upright projection
The pancreatic and common bile duct terminate at the ____. ampulla of vater
Which duct connects the gallbladder to the common hepatic duct? cystic duct
Through what must the endoscopist pass the cannula from the duodenum into the common bile duct? hepaopancreatic sphincter
What substance activates the muscular contraction of the gallbladder? cholecystokinin
Cholecystogram radiographic study of the gallbladder
Radographic exam of the gallbladder and biliary ducts. cholecystangiography
What is the largest gland in the body? liver
What divides the liver into two major lobes? falciform ligament
What are the two minor lobes of the liver? caudate and quadrate lobes
What are the two blood supplies to the liver? hepatic artery and portal vein
What is the primary function of the liver? production of bile
What is the flow of bile through the gallbladder to the descending duodenum? Right and left hepatic ducts from liver joint to form the common hepatic duct ->joins the cystic duct to form the common bile duct ->joins the pancreatic duct -> into the descending duodenum via ampulla of vater which is controlled by sphincter of oddi
What is the function of the gallbladder? stores bile and emulsifies fat
This procedure examines the concentration and emptying power of te gallbladder. Oral cholecystography
What radiographic position will differentiate between the kidney and gallstones in an oral cholecystography? right lateral
Procedure done with a special chiba needle, right side of patient is draped and patient is supine, water soluble iodinated contrast is injected directly under fluoro ito ducts. Percutaneous transhepatic cholangiography (PTC)
Postoperative (T Tube) cholangiography performed via a t shaped tube left in the common hepatic and common bile ducts for postoperative drainage
Created by: sr4095