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AP 2 - Book

Lecture 10 exam study - Biliary Procedures

QuestionAnswer
Chole refers to? Biliary System
Cysto refers to? Gallbladder
Angio refers to? Bile ducts
Advantages to ultrasound becoming the modality of choice for examination of the Gallbladder: 1. no radiation 2. can detect small stones in Gallbladder and Biliary ducts 3. no contrast 4. less patient prep 5. can correlate abdomen finding radiographs
Route used to image the Biliary system in diagnostic radiology? Direct injection into the ducts
Radiographic and fluoroscopic procedure that visualizes the biliary tree by direct injection of contrast into the biliary ducts through an endoscope ERCP
An alternative procedure for patients who are unable to have an ERCP (direct injection into the porta hepatis of the liver) - commonly performed in Interventional radiology, CT or MR imaging Percutaneous Transhepatic Cholangiogram
A post-operative radiographic and fluoroscopic procedure performed after cholecystectomy (gallbladder removal) - special T-shape tube through remaining cystic duct, common hepatic and common bile to check for any residual stones T-Tube cholangiogram
Performed in surgery either before or after the removal of the Gallbladder to investigate for residual gallstones Operative Cholangiogram
Inflammation of the Gallbladder Cholecystitis
The presence of calculi or stones in the biliary ducts Choledocholithiasis
The presence of calculi or stones in the Gallbladder Cholelithiasis
Not an illness itself but a medical condition in which too much bilirubin is circulating in the blood Jaundice
Very rare cancer, usually an adenocarcinoma Gallbladder cancer
Performed as a joint procedure between radiology and gastroenterology to remove a cholelith or small lesion in the biliary duct or to repair a stenosis of the sphincter of oddi or an associated duct ERCP
What kV is typically used for Water-soluble Iodinated Contrast procedures? 80-90
What Overhead projection performed on the Biliary tree is most important and why? RPO, it facilitates drainage of the Biliary Ducts
What SCOUT image should be performed prior to a T-Tube Cholangiogram if requested by a radiologist? RPO SCOUT
The RPO position also best facilitates drainage of the Biliary Tree following what? Contrast medium injection
Popular Radiology sets

 

 



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