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Positioning of Gallbladder and Biliary Tract
N/A
19
Anatomy
Professional
05/01/2013

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Cards

Term
Oral Cholecystograms is generally contraindicated for patients with:
Definition
Vomiting or diarrhea
Pyloric obstruction
Malabsorption syndrome
Severe jaundice
Liver dysfunction
Hepatocellular disease
Hypersensitivity to iodinated contrast media
Term
Patient is to eat a __ evening meal the day before the examination
Definition
fat free
Term
Approximately 14 hours prior to the examination, the patient will ingest the contrast medium that is:
Definition
Usually telepaque
Consists of 6 tablets
Term
Anatomical structures visualized:
Definition
entire gallbladder
area of the cystic duct
common bile duct
common hepatic duct
Term
Performed on patients with jaundice when ductal system has been demonstrated as dilated by CT or US, but cause unclear
Definition
Percutaneous transhepatic cholangiography
Term
needle used for Percutaneous transhepatic cholangiography
Definition
Special “skinny” needle (Chiba) inserted 22 gauge
Term
Postoperative (T-tube) Cholangiography demonstrates:
Definition
Caliber and patency of ducts
Status of sphincter of the hepatopancreatic ampulla
The presence of residual or previously undetected stones
Term
Also called delayed cholangiography
Performed via a T-shaped tube left in the common hepatic and common bile ducts
Definition
Postoperative (T-tube) Cholangiography
Term
Tube clamped ___
Fills tube with bile to prevent air bubbles from entering because air bubbles mimic radiolucent stones
Definition
day before procedure
Term
for Postoperative (T-tube) Cholangiography, cleansing enema __ before procedure
Definition
1 hour
Term
patient position for Postoperative (T-tube) Cholangiography
Definition
Patient positioned in RPO position with RUQ centered to IR
Term
Used to diagnose biliary and pancreatic pathologic conditions
Definition
Endoscopic retrograde cholangiopancreatography (ERCP)
Term
ERCP is useful when ducts are __ and ampulla not obstructed
Definition
not dilated
Term
ERCP performed by passing a fiberoptic endoscope through the __ into the __ under fluoroscopy
Definition
mouth, duodenum
Term
for ERCP, contrast injected into the __
Definition
common bile duct
Term
Hepatobiliary or HIDA scan of the gallbladder and biliary system
Definition
nuclear medicine
Term
Used to demonstrate neoplasms of the liver, gallbladder and pancreas
Definition
CT
Term
Preferred method for demonstration of gallstones due to the cost and radiation exposure of CT
Definition
sonography
Term
Effective in detecting hepatocellular carcinoma, cholangiaocarcinoma, hepatic metatstases, intrahepatic lymphoma and adenocarinoma of the gallbladder
Definition
MRI
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