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Midterm Review

SON 130

TermDefinition
Obstruction in biliary disease and where dilataion might occur stone in head- whats dialted? stone in cystic duct- GB dialated. obstruction of bile duct- bile duct diameter increases 30 mins after fatty meal. stones in bile ducts choledocholithiasis.
murphys sign without informing the patient, apply pressure with the transducer suddenly and note if the patient indicates pain at that location- if so, this is a positive murphys sign
courvoisiers GB mass in head of pancreas. GB cant empty. Ampulla of Vater obstruction due to mass on head of pancreas. enlarged GB, painless jaundice.
Mickey Mouse Sign concerns PV, hepatic artery, and bile ducts
GB wall thickening 3mm
portal triad PV, HA, bile ducts
choledochal cyst aneursym of bile duct, cystic dialation of CBD TYPE 1-diffuse or fusiform, dialtaion of entire CBD TYPE 2- sac coming off the side TYPE 3- cystic dialation of distal CBD, prolapses into duodenum through ampulla of vater
what happens when fat is digested? releases cck, makes GB contract
criteria for a cyst
criteria for a gallstone moves, shadowing, and is echogenic
understanding GB pathology stones- shadows and moves, inflammation- thickening of wall, sludge- moves and doesnt have shadow, looks like sand
causes of fatty liver diabetes, obesity, high cholesteral, starvation, hepatitis
lab values for liver and biliary system TOTAL bilirubin- elevated for obstruction INDIRECT bilirubin- hemolysis from amnesia or trauma DIRECT bilirubin- obstruction or hepatocellular disease AST ALT LDH WBC count is high in b
riedels lobe lobe over the edge of the kidney
adenomyomatosis multiple pylops in GB
liver divisions and lobes right lobe- medial and lateral divisions, middle lobe- right and left lobes, left lobe- anterior and posterior divisons
types of aneurysms fusiform, saccular, and dissecting
liver metastasis most common malignant tumor, can look like anything, when cancer travels to the liver
know normal diameters for the CHD and CBD CHD- 4mm CBD-6mm
Created by: Sierd98765
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