Biliary System

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1.  The GDA is _______________ and _________________ to the pancreatic head.
2.  This part of the gallbladder is the area in between the fundus and the neck.
3.  An _______________ shaped gallbladder means that it has an "s" shape.
4.  This layer of the gallbladder wall is connective tissue.
5.  The gallbladder is the storage site for bile that was produced by the _____________. The gallbladder has a storage of ____(#) - ____(#) ml.
6.  The CBD passes ________________ and ________________ to the pancreatic head where it joins the ______________ duct which together empty into the duodenum.
7.  Ducts are measured _____________ to ______________ measuring the diameter of the lumen, not including the ___________.
8.  A ________________ ______________ is a fold in the fundal portion of the gallbladder causing the fundus to lie over the body.
9.  _____________ _______________ is a small sac located in the neck of the gallbladder. Stones and sludge commonly collect here.
10.  CCK is responsible for...
A.
B.
C.
11.  The gallbladder is located in the _________, and is pear shaped.
12.  Within the lumen of the cystic duct are the _____________ _____________ of _____________. These are not true valves, but are actual _____________ folds that function to prevent collapse or over distention of the ballbladder
13.  Sono AppearanceThe CBD is an anechoic tubular structure with thin, echogenic walls. The CBD varies considerably in length and course. You may not be able to image completely  in one image, however it should always be followed all the way to the _______________ _____________.
14.  _________________ is when there are two pear shaped parallel cystic structures.
15.  The cystic duct arises from the _______________ aspect of the gallbladder and joins the common hepatic duct to form the ______________ _______________ duct.
16.  Name the three parts of the gallbladder, from the fullest part to the narrowest.
17.  Sono AppearanceThe bile duct lumen normally appears _____________ with thin, echogenic walls. Gains may have to be _____________ slightly from those used during hepatic imaging to avoid artifactual filling (pseudo-sludge).
18.  Sono appearanceThe common hepatic duct can be identified ______________ to the hepatic artery and portal vein near the porta hepatis.
19.  The gallbladder contracts in response to what?
20.  Using color flow doppler to follow the CBD, the CBD will or will not have color within?
21.  The CBD travels ______________ and _________________ to the first portion of the duodenum in a groove ______________ and _____________ to the pancreatic head.
22.  The common hepatic duct joins with the _____________ duct to form the _____________ ___________ _____________.
23.  An enlarged gallbladder is also called ______________.
24.  The right and left main hepatic ducts merge to form the _____________ _____________ duct.
25.  The intrahepatic ducts are not normally visualized, however should not exceed ____(#) mm near the convergence
26.  The fat is not in the meal, the gallbladder empties ___________.
27.  Another name for the pancreatic duct is _____________ duct.
28.  The ampulla of vater is controlled by the _______________ _______ _______________.
29.  The gallbladder lies in a fossa on the _____________ surface of the liver, at the __________ end of the main lobar fissure between the righ and left lobes.
30.  This part of the gallbladder is the fullest most distal part of the gallbladder that usually projects below the inferior margin of the liver.
31.  This part of the gallbladder is the narrowest portion located just to the right of the porta hepatis. It tapers to form the cystic duct.
32.  _____________ is a low-lying, dropping, or sagging gallbladder.
33.  The ____________ _______________ ______________ is an important landmark in locating the gallbladder especially when the gallbladder is contracted, contains no bile, or is completely filled with stones or sludge.
34.  The biliary system transports bile, which is continually produced by the _____________ _____________ ___________ (_______________) to the _______________ where it aids in digestion.
35.  Sono appearance-The cystic duct may occasionally be seen leaving the gallbladder ____________. Sometimes the valves of ____________ may also be seen. It is important not to confuse these echogenic mucal folds for pathology such as ___________.
36.  The branches of the intrahepatic biliary tree converge to form a right and left __________ duct which joins to form the _______________ ______________ _____________.
37.  The normal gallbladder wall thickness is <___(#) cm.
38.  The gallbladder wall is measured on its ___________ surface, leading edge to leading edge.
39.  The common hepatic duct runs anterior to the ______________ _____________ with the _____________ _________________ sandwiched between.
40.  Sono Appearance-A normal functioning gallbladder will have _________, ___________, __________ walls, an _____________ lumen, and ___________ acoustic enhancement.
41.  The gallbladder can also be _______hepatic
42.  Another function of the gallbladder is the disbursement of bile. High concentration of fats or partially digested proteins stimulates the intestinal mucosa to secrete the hormone ________________ or ________.
43.  Name the layers of the gallbladder wall from the innermost layer to the outermost.
44.  Gallbladder ____________ means that a person was not born with a gallbladder.
45.  The CBD should measure about _____(#) mm/decade. <___(#) mm is normal, _____(#) - _____(#) mm is prominent, and >____(#) mm is dilated. It is common to observe the CBD measurements up to ____(#) mm status post cholecystecomy.
46.  Intrahepatic ducts are biliary _____________ that run _________________ within the portal triad. These radicals merge together to form the right and left main _____________ ducts.
47.  The common hepatic duct should measure <____(#) mm
48.  The gallbladder can also be ______ sided (situs inversus)
49.  A ______________ gallbladder is rare, and is a fold in the gallbladder that projects into the lumen.
50.  This layer of the gallbladder wall is smooth muscle that contracts in response to cholecystokinin.
51.  This layer of the gallbladder wall is the innermost wall made up of simple columnar epithelium
52.  The gallbladder is an ____________________ sac, measuring approximately _____(#)  - _____(#) cm long and ____(#) cm transversely.
53.  _____________ _______________ is the most common variant of the gallbladder. It is a fold between the neck and body, and may appear as septations in the gallbladder.
54.  The gallbladder concentrates bile. ________ and _______ ions are absorbed by mucosa.
55.  Intrahepatic ducts are biliary _____________ that run _________________ within the portal triad. These radicals merge together to form the right and left main _____________ ducts.
56.  This layer of the gallbladder wall is the outermost layer of visceral peritoneum
57.  Biliary Tree OverviewBile is produced by _______________ and excreted into the _________ _______________. From there the bile drains into the _______________ ducts or _______________ ____________. All the biliary radicals converge to form the ____________ ____________ duct. The CHD in turn connects with the _____________ duct to form the ______________ ____________ duct. The CBD then connects with the _____________ duct to enter the ____________ portion of the duodenum through the ____________ of _______________.
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