Gb Pathology Part 3

55 Questions | By Agambino | Updated: Jan 22, 2013 | Attempts: 62

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Part 3 of pathology

Questions and Answers

1.

This is an actual rupture of the GB wall seen in 5-10% of acute cholecystitis cases and can occur at any stage of acute cholecystitis.
2.

GB perforation should be suspected if a localized fluid collection is seen within the GB bed.
- A.
  
  True
- B.
  
  False
3.

What are the 3 typed of GB perforation:
4.

________ perforation is a free perforation that results in generalized peritonitis. It is a very irritating substance that results in _______ of peritoneal membrane.
5.

This is the MOST COMMON form of perforation and is characterized by a localized rupture that results in the formation of a pericholecystic abscess.
6.

This type of perforation results in an internal abnormal fistula formation or perforation into an adjacent hollow viscous. It is seen with Bouveret's syndrome
7.

___________ Syndrome is an obstruction of the stomach or duodenum caused by a gallstone that has migrated through a fistula.
8.

In the sonographic appearance of GB perforation, it is common to see an abscess adjacent to the GB with subacute involvement.
- A.
  
  True
- B.
  
  False
9.

Clinical and lab data of GB perforation:
- A.
  
  Leukocytosis
- B.
  
  Similar to calculous cholecystitis
- C.
  
  Fever
- D.
  
  Similar to acalculous cholecystitis
10.

What are the 2 treatments involved with GB perforation:
11.

_________ cholecystitis is the MOST COMMON form of symptomatic GB disease almost always associated with stones.
12.

Patients with chronic cholecystitis complain of recurrent biliary ______ that lasts for several hours and is caused by transient ___________ of the GB neck or by a stone in the cystic duct.
13.

What are the 3 complications of chronic cholecystitis:
14.

"WES" stands for _____ ______ _________.
15.

The "WES" triad is also known as the "_______ _____ _________" sign.
16.

With chronic cholecystitis, an enlarged GB is seen with thickened walls.
- A.
  
  True
- B.
  
  False
17.

A positive "WES" sign may be identified with chronic cholecystitis.
- A.
  
  True
- B.
  
  False
18.

Clinical and lab data of chronic cholecystitis:
- A.
  
  Nausea and/or vomiting
- B.
  
  Jaundice
- C.
  
  RUQ pain
- D.
  
  History of fatty food intolerance
- E.
  
  Increased ALP, bilirubin, ALT and AST
19.

This is a calcification of the GB wall and is associated with gallstones and chronic cholecystitis.
20.

There is an increased risk of gallbladder cancer with a porcelain GB.
- A.
  
  True
- B.
  
  False
21.

Bouveret's syndrome is also known as _________ ______.
22.

This is an obstruction of the stomach or duodenum caused by a gallstone that has migrated through a fistula.
23.

Sonographic appearance of porcelain GB:
- A.
  
  Curvilinear echogenic structures within the GB fossa with posterior acoustic enhancement
- B.
  
  Irregular wall with areas of echo densities and shadowing
- C.
  
  Pneumobilia
24.

Bouveret's syndrome occurs with longstanding untreated acute cholecystitis.
- A.
  
  True
- B.
  
  False
25.

Sono appearance of gallstone ileus:
- A.
  
  Empty GB
- B.
  
  Small contracted GB with gas
- C.
  
  Pneumobilia
- D.
  
  GB with stones and sludge
- E.
  
  Stones may be visible in bowel with dilatation of the proximal bowel