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37 Cards in this Set
- Front
- Back
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contrast, routes on administration (4) |
oral, injection into a vein, direct injection into ducts, indwelling |
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reasons for biliary exams (4) |
liver function, patency and condition of biliary ducts, concentration of emptying power of gallbladder, gallstones |
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cholegraphy |
study of biliary system |
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cholecystography |
study of gallbladder |
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cholecystangriography |
study of gallbladder and biliary ducts |
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cholelithiasis |
having stones in gallbladder |
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cholecystitis |
inflammation of gallbladder |
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endoscopic |
refers to the use of a fiberoptic endoscope passed into duodenum |
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retrograde |
refers to the injection of dye up into the bile ducts in a direction opposing the normal flow of bile |
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cholaniopancreatography |
radiographic visualization of the pancreatic and biliary ducts by means of endoscopic injection of a contrast medium through ampulla of Vater |
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ERCP is used to |
diagnose biliary and pancreatic pathologies when the biliary ducts are not dilated and no obstruction exists in the ampulla |
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ERCP procedure |
gastroenterologist passes fiberoptic endoscpe through patient's mouth into duodenum. locates ampulla of vater and inserts a catheter. contrast in injected into common bile duct |
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ERCP patient prep |
stomach and duodenum must be empty, fast for 6-8 hours. physician must be aware of allergies, patient needs arrangements to be driven home |
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ERCP complications |
pancreatitis, infection, bleeding, perforation of duodenum (uncommon), tenderness or lump may occur where sedative was injected |
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patients going to PTC will present |
jaundice |
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PTC procedure |
direct puncture of biliary ducts cia needled being insterted through the abdominal wall, patient supine |
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chiba needle |
skinny type |
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PTC procedure |
performed under fluoro guidance |
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PTC - contrast injected |
into the duct system |
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problems for PTC |
increased clotting time, biliary tract infection, allergies to contrast |
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complications for PTC |
hemorrhaging, liver lacerations, peritonitis from bile leakage, pneumothorax |
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operative cholangiogram purpose |
investigate patency of biliary ducts, functional status of sphincter of hepatopancreatic ampulla, possible presense of stones or lesions not previously detected and strictures/dilations of ducts |
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contrast for operative cholangiogram |
water soluble iodinated |
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hepatopancreatic ampulla |
oddi |
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operative cholangiogram procedure |
performed during surgery, usually during a cholecystectomy, performed under fluoro control |
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cholecystectomy |
removal of gallbladder |
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operative cholangiogram contrast injection |
directly into common bile duct |
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trendelenburg position |
head lower than feet |
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operative cholangiogram - trendelenburg position used to |
fill the intrahepatic ducts with contrast |
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t-t-ube cholangiogram |
t-shaped tube left in common bile duct for post-op drainage |
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contrast for t-tube cholangiogram |
water soluble contrast, 25-30% density |
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t-tube cholangiogram |
images performed to see patency of ducts and check for stones |
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post operative cholangiogram |
radiographs performed approx 10days post surgery to demonstrate the caliber of patency of ducts, status of the sphincter of the hepatopancreatic ampulla, and the presence of undetected stones or other pathologic conditions |
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post-op cholangriogram patient prep |
drainage tube extends to outside of body and should be clamped one day prior to prevent the intro of air bubbles |
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laparoscopic cholecystectomy |
gold standard treatment for gallstones |
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laparoscopic cholecystectomy |
removal of gallbladder |
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laparoscopic cholecystectomy - advantages |
less pain, faster recovery, shorter hospitalization, smaller aesthetic incisions, cost savings |
