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Liver & Biliary 2
Part 2 (RAD 135)
| Question | Answer |
|---|---|
| What procedure is performed on patients with an obstruction? | Percutaneous Transhepatic Cholangiography (PTC) |
| Special “skinny” needle | Chiba |
| ______ is injected under fluoroscopy when performing a PTC and a T-Tube | Water-soluble iodinated contrast |
| Local anesthetic is administered (via chiba) when performing a PTC. The chiba is usually inserted through the- | Right Lateral Intercostal Space |
| _______ is also called/known as Delayed Cholangiography | Postoperative (T-Tube) Cholangiography |
| A Postoperative (T-Tube) Cholangiography procedure is performed via a- | T-shaped tube temporarily left in the common hepatic/common bile ducts |
| A T-Tube is most commonly used for __________ usually from removal over the gall bladder | Postoperative Drainage |
| Percutaneous Transhepatic Cholangiography (PTC) Patient Position- | Supine, Right Side surgically prepared and draped |
| Postoperative (T-Tube) Cholangiography Patient Position | RPO right upper quadrant centered to IR |
| A fiber-optic endoscope (tube with illuminating camera and guidewire) is inserted__________ under fluoroscopy when performing an ERCP | Through the mouth into the duodenum at the ampulla of Vater |
| What procedure is used to diagnose biliary and pancreatic pathologic conditions? | Endoscopic Retrograde Cholangiopancreatography (ERCP) |
| Endoscopic Retrograde Cholangiopancreatography (ERCP) is a useful method when | Ducts are not dilated and ampulla is not obstructed |
| Contrast is injected into the_______ when performing an ERCP | Common Bile Duct |
| Characteristics of an ERCP procedure | Patient’s throat is sprayed with a local anesthetic to make passage of endoscope easier The hepatopancreatic ampulla is cannulated Spot and conventional images are taken as indicated |
| Which procedure uses a Large fiber-optic endoscope (camera)? | Endoscopic Retrograde Cholangiopancreatography (ERCP) |
| What projections are made after ductal system is filled (PTC Procedure) | Spot AP Projections |
| The Liver is located in the- | Right Upper Quadrant (RUQ) |
| What divides the liver into the two major lobes on the anterior/superior surface? | Falciform Ligament |
| The Gallbladder can store______ of bile | About 2 Ounces (oz) |