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26 Cards in this Set
- Front
- Back
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What is the ampulla of Vater?
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small opening in the duodenum in which the pancreatic and common bile duct enter to release secretions
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cholecystectomy
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removal of the gallbladder
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What is Cholecystokinin?
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hormone secreted into the blood by the mucosa of the upper small intestine which stimulates contraction of the gallbladder and pancreatic secretion of enzymes
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Describe the location of the common bile duct.
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It extends from the point where the common hepatic duct meets the cystic duct; drains into the duodenum after it joins with the main pancreatic duct
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Describe the cystic duct's location.
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It connects the gallbladder to the common hepatic .duct
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What is Hartmann's Pouch?
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It is a small outpouching in the area of the GB neck that lies near the cystic duct where stones may collect.
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What are the spiral valves of Heister?
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They are tiny valves (mucosal folds) found within the cystic duct.
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What is Murphy's Sign?
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A positive sign implies exquisite tenderness over the area of the gallbladder upon palpation.
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What is a Phrygian Cap?
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A gallbladder variant in which part of the fundus is bent back on itself.
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Describe the location of the pancreatic duct.
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It travels horizontally through the pancreas to join the common bile duct at the ampulla of vater.
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What is choledocholithiasis?
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A stone(s) in the bile duct(s).
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What is cholelithiasis?
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A gallstone(S) in the gallbladder.
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What is the porta hepatis?
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A central area of the liver where the portal vein, common duct and the hepatic artery transverse.
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What is the sphincter of Oddi?
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A small muscle that guards the ampulla of Vater (regulates the flow of bile).
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What are the intrahepatic ducts?
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Ducts that run with in the liver. Rt and Lt hepatic ducts are considered intrahepatic.
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What doe the extrahepatic biliary tree consist of?
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The CHD, CBD, GB, cysitc duct, sphincter of Oddi
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What are the three parts of the GB?
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Fundus, Body, Neck
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Where does the GB sit in relation to the liver?
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In the GB fossa on the posterior/inferior surface.
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What landmark in the liver leads us to the GB?
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Main lobar fissure.
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The cystic duct should measure ____ or less.
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4mm
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How does the hepatic duct run in regards to the portal vein?
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parallel
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How should the GB measure in TRANS and in LONG?
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Trans - 3-5 cm
Long 8-12 cm |
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The GB wall should measure ____ or less.
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3mm
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The diameter of the CBS should measure ____ or less. What is rule for patients who have had their GB removed?
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7mm; up to 1 cm
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What are the 4 F's?
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Fat, Female, Forty, Fertile
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What anechoic structures surround the GB and could be confused for it during an exam?
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Fluid-filled duodenum; IVC
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