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17 Cards in this Set

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  • Back
Radiographic exam of the gallbladder.
Cholecystogram
Radiographic exam of the biliary ducts.
Cholangiogram
Bile Route
R and L hepatic duct
Common hepatic duct
Common bile duct
Pancreatic duct
Duodenum
Functions of Gallbladder
1)Stores bile
2)Concentrates bile with hydrolysis
3)Contracts when stimulated by the hormone CCK
What projection reduces OID for gallbladder?
PA
Where does the gb lie in a hypersthenic pt?
high and lateral
Where does the gb lie in an aesthenic pt?
low and midline
Anatomy of the gb.
cyctic duct
neck of gb
body of gb
fundus
OCG
Oral Cholecystogram
Any contrast given by mouth to visualize the gb.
Cholecystopaques
OCG measures what three things?
1)functional ability of the liver to remove contrast from bloodstream along with bile
2)patency and condition of the biliary ducts
3)concentrating and contracting ability of the gb
Pathologic Indications for the OCG
*cholelithiasis
*cholecystitis
*neoplasms
*biliary stenosis
*congenital anomalies
Most common abnormality diagnosed during an OCG.
90% of all gb and duct disorders are due to this.
Cholelithiasis
Who is at higher risk for cholelithiasis?
females and obese pts
The preferred method for detecting stones.
Sonography
Due to blockage of cystic duct, therefore bile does not flow from GB into the common bile duct.
ACUTE cholecystitis
Almost always associated with gallstones
Symptoms are RUQ pain, heartburn and nausea after eating
CHRONIC cholecystitis