Term
| Congenital. Dilated bile ducts. (image) |
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Definition
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Term
| Most common causes of biliary ductal system obstruction: |
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Definition
Choledocholithiasis
Pancreatic adenocarcinoma |
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Term
| Can be classified as primary or secondary (image) |
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Definition
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Term
| Biliary tree inflammation, affects men more, ave. age of Dx 39 (image) |
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Definition
| Primary Sclerosing Cholangitis |
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Term
| Incidence peaks in 8th decade. More common Thailand. 90% are adenocarcinomas. 2nd most common primary maligancy of cirrhosis & Hep C |
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Definition
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Term
| 60% of carcinomas to biliary system. Treated with surgical resection. Dilation of intrahepatic ducts.(image) |
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Definition
| Hilar Cholangiocarcinoma (Klatskin's) |
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Term
| Organized & thickened bile (image) |
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Definition
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Term
| Thickened GB walls may be caused by all but: portal hypertension, heart failure, GB cancer, sclerosing cholangitis, cholecystitis, adenomomatosis, hemobilia |
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Definition
| Hemobilia is NOT a cause of GB wall thickening |
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Term
| Image of GB with bands of non-layering, echogentic tissue within the lumen |
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Definition
Gangrenous Cholecystitis
(Complication of Acute Cholecystitis) |
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Term
| Complcation of infected GB. Symptoms are occasional GI bleed & blood within GB wall/lumen. |
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Definition
| Hemorrhagic Cholecystitis |
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Term
| Not a symptom of a perforated GB is: distended GB, fluid collection in wall, extension into liver causing abscess |
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Definition
Distended GB
(Perforated GB has a deflated appearance) |
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Term
| Image shows echogenic lines with posterior dirty shadowing. More common in men, more than 1/2 are diabetic. |
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Definition
| Emphysematous Cholecystitis |
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Term
| Uncommon, acute GB inflammation in absence of cholelithiasis. |
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Definition
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Term
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Definition
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Term
| Image shows hyperechoic semilunar line with dense posterior acoustic shadowing. |
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Definition
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Term
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Definition
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Term
| GB fills with mucinous matter. Thin walls, round shape. |
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Definition
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Term
| GB is dilated as a result of blockage to CBD by means other than gallstones |
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Definition
Courvoisier's Gallbladder
(Associated with adenocarcinoma of pancreas) |
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Term
| Mobile, echogenic stones, with shadowing |
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Definition
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Term
| +50 yrs. Equal M/F instance (image) |
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Definition
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Term
| Image shows ringdown shadow. Hyperplastic changes. |
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Definition
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Term
| Thickening of GB wall. May include cystic spaces. Benign & non-mobile. |
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Definition
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Term
| Malignant ones are singular & change in size. More common in those over 60. (Image) |
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Definition
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Term
T/F Strawberry is a diffuse form of cholesterol polyps
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Definition
True
(Stawberry is not the focal form) |
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Term
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Definition
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Term
| 98% of GB carcinomas are this kind |
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Definition
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Term
| Name 5 indications of pancreas US |
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Definition
| pancreatitis, suspected carcinoma, abd. pain, epigastric pain, abn. pancreatic enzymes |
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Term
| Name 6 other means of evaluating the pancreas |
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Definition
| x-ray, MRI, ERCP, CT, EUS (endoscopic sonography), IOUS (intraoperative US) |
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Term
| This serum level goes up to twice the normal amt. in acute pancreatitis |
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Definition
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Term
| This level rises in acute pancreatitis & in carcinoma of the pancreas |
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Definition
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Term
| Which of the following is not congenital: annular pancreas, agenesis, panc cysts, psuedocyst |
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Definition
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Term
| Causes cysts with high levels of amylase. |
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Definition
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Term
| What are 2 main causes of acute pancreatitis |
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Definition
| Biliary calculi & alcohol abuse |
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Term
| This is NOT a symptom of acute pancreatitis: Epigastic pain raidiating to chest, N&V, abd. tenderness, jaundice |
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Definition
Pain radiating to chest
(pain radiates to back) |
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Term
| Is acute pancreatitis more commonly seen as diffuse, enlarged & hypoechoic or focal? |
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Definition
| Diffuse, enlarged & hypoechoic |
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Term
| In accute pancreatitis, which lab value slowly rises after 24-48 hours and remains high for 5-14 days? |
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Definition
Lipase
(Amylase rises in first 24-48 hrs and remains there for 48-72 hrs) |
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Term
| Names 5 causes of pancreatic pseudocysts |
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Definition
| Acute pancreatitis, alcohol abuse, biliary etiology, blunt trauma, secondary pancratic malignancy |
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Term
| Collection of purulent & necrotic pancreatic tissue |
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Definition
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Term
| More common in men, commonly caused by alcohol abuse, characterized by lobulated & lumpy pancreas borders |
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Definition
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Term
| Abd pain, painless jaundice, weight loss, vomitting & back pain. (Image) |
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Definition
| Pancreatic Adenocarcinoma |
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Term
| Most common islet cell tumor |
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Definition
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