Liver
What segment does the right lobe divide into?
Anterior and posterior
What is the other name for the junctional fold?
The Hartman's pouch?
What is a non-mobile, non-shadowing focus seen within the Gallbladder lumen
A polyp
Focal tenderness over the gallbladder with applied probe pressure is called the Murphy's sign?
True
The yellow pigment found in bile that is produced by the breakdown of old red blood cells by the liver?
Bilirubin
what is the medial portion of the left lobe?
Quadrate
What is the most distal portion of the biliary tree?
The CBD
What leads to a reduction in the size of the heaptic veins?
Budd-Chiari Syndrome
The WES sign is the presence of a gallstone logged in the cystic duct?
False, it is a GB filled with cholelithiasis
What segment of the biliary tree tends to dilate first with obstruction?
Extrahepatic
Hepatomegaly
increased echogenicity
difficultly in penetration
obscurity of portal veins
liver kidney echo disparity
Fatty liver
What hormone causes the Gallbladder to contract?
Cholecystokinin
What is choledocholithiasis, and signs and symptoms?
A gallstone in the biliary tree, jaundice, elevated bilirubin and alkaline phosphatase
The hepatoma is a benign tumor of the liver?
False, malignant tumor
What is a impacted stone in the cystic duct that can present with jaundice, pain, and fever?
The Mirizzi Syndrome
What lab values will be associated with HCC?
Elevated LFT's and AFP
What is a calcified Gallbladder wall with a higher risk of GB cancer?
Porcelain Gallbladder
This is a congenital defect, is a cyst like mass in the porta hepatis region and involves the CBD?
A choledochal cyst
Intrahepatic tubular structures fill with color?
False
A small Gallbladder is seen with intrahepatic dilatation, where would the obstruction be?
In the common hepatic duct
If liver mets is the secondary liver cancer, what are the most common primary sites?
Gi tract, breast, and lung
What is Adenomyomatosis?
Proliferation of the mucosal layer that extends to the muscle layer
What cholangiocarcinoma will cause the right and left intrahepatic ducts to dilate?
Klatskins tumor
A thickened Gallbladder wall is associated with Portal hypertension?
False
A patient that has had a cholecystectomy and presents with RUQ pain, elevated serum bilirubin and bilirubin in the urine, what could the cause be?
A stone, tumor, or stricture causing bile duct obstruction