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Applied Sonography
Chapter 11, GB
45
Medical
Professional
08/01/2013

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Term
GB
Definition
serves as a reservoir for bile that is drained from the hepatic ducts in the liver
Term
normal anatomy of the GB
Definition
consist of the right and left hepatic ducts, the common hepatic duct, the common bile duct, the pear-shaped GB, and the cystic duct
Term
ampulla of vater
Definition
small opening in the duodenum in which the pancreatic and common bile duct enter to release secretions
Term
bilirubin
Definition
yellow pigment in bile formed by the breakdown of red blood cells
Term
cholecystectomy
Definition
removal of GB
Term
common bile duct
Definition
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
Term
common duct
Definition
refers to common bile and hepatic ducts when cystic duct is not seen
Term
common hepatic duct
Definition
bile duct system that drains the liver into the common bile duct
Term
cystic duct
Definition
connect the GB to the common hepatic duct
Term
GB
Definition
storage pouch for bile
Term
Hartmann's pouch
Definition
small part of the GB that lies near the cystic duct where stones may collect
Term
Heister's valve
Definition
tiny valves found within the cystic duct
Term
hydrops
Definition
massive enlargement of the GB
Term
pancreatic duct
Definition
travels horizontally through the pancreas to join the common bile duct at the ampulla of Vater
Term
phrygian cap
Definition
GB variant in which part of the fundus is bent back on itself
Term
porta hepatis
Definition
central area of the liver where the portal vein, common duct, and hepatic artery enter
Term
sphincter of Oddi
Definition
small muscele that guards the ampulla of Vater
Term
adenomyomatosis
Definition
small polypoid projections from the gallbladder wall. does not move with positions, comet tail artifact
Term
cholangitis
Definition
inflammation of the bile duct
Term
cholecystitis
Definition
inflammation of the gall bladder, may be acute of chronic. elevated serum amylase, abnormal LFTS. Sono: dilation and rounding of GB, + Murphys , thick GB wall w irregular wall , stones, pericholecsytic fluid
Term
cholecystokinin
Definition
hormone secreted into the blood by the mucosa of the upper small intestine; stimulates contraction of the GB and pacreatic secretion of enzymes
Term
choledochal cyst
Definition
cystic growth on the common duct that may cause obstruction
Term
choledocholithiasis
Definition
stones in the bile duct; check bilirubin levels, acute elevated amylase, abnormal LFT, increased alkaline phosphatate,AST/ALT MAY be normal; sono: dilated GB w thick wall, hyperechoic w posterior shadowing, WES sign, gravity dependent calcifications in GB
Term
cholesterolosis
Definition
variant of adenomyomatosis; cholesterol polyps
Term
jaundice
Definition
excessive bilirubin accumulation causes yellow pigmentation of the skin; first seen in the whites of the eyes
Term
junctional fold
Definition
small septum within the gallbladder, usually arising from the posterior wall
Term
Klatskins's tumor
Definition
cancer at the bifurcation of the hepatic ducts; may cause asymmetrical obstruction of the biliary tree
Term
Murphy's sign
Definition
positive sign implies exquisite tenderness over the area of the GB upon palpation
Term
polyp
Definition
small, well-defined soft tissue projection from the GB wall
Term
porcelain GB
Definition
storage pouch for bile
Term
sludge
Definition
low-level echoes found along the posterior margin of the Gb, move with change in postition
Term
wall echo shadow sign (WES)
Definition
sonographic pattern found when the GB is packed with stones
Term
the common hepatic duct is joined by the cystic duct to form the
Definition
CBD
Term
the main pancreatic duct joins the common bile duct, and together they open through a small ampulla called
Definition
the ampulla of Vater, into the duodenal wall
Term
the end parts of the common bile duct and main pancreatic duct and the ampulla are surrounded by circular muscle fibers known as
Definition
the sphincter of Oddi
Term
the arterial supply of the GB is from what artery , which is a branch of the right hepatic artery
Definition
cystic
Term
what stimulates the liver to make more bile from the small intestine
Definition
bile salt's
Term
what are the two primary functions of the extrahepatic biliary tract
Definition
transportation of bile from the liver to intestines and regulation of its flow
Term
bile is the principal medium for excretion of ;
Definition
bilirubin cholesterol
Term
what is the most classic symptom of GB disease
Definition
RUQ pain, usually occurring after ingestion of greasy foods
Term
where might someone have pain from a GB attack
Definition
right shoulder
Term
what is the normal wall thickness of the gallbladder
Definition
less than 3mm
Term
what are the five F's
Definition
fat , forty, female, fertile and fair
Term
a hyperplastic change in the gallbladder wall is
Definition
adenomyomatosis
Term
An important function of liver is secrete bile approximately how much in one day
Definition
1-2 liters of bile in one day
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