Gall Me Maybe
Blocked and Bothered
Duct, Duct...Oops
Spill the Bile
Dead White Men
100
These two structures are the ONLY two structures that should be visualized entering the gallbladder when obtaining the critical view of safety
What are the cystic duct and the cystic artery
100
The most common type of gallstones
What are cholesterol stones
100
During a very difficult lap chole, the IOC shoes good distal filling of the CBD but no filling of the proximal hepatic duct despite changes in the patient position. This is your next step and why
What is convert to an open procedure for concern of having accidently clipped the hepatic duct
100
Relaxation of this sphincter causes bile to enter the duodenum
What is the sphincter of Oddi
100
His "Pentad" can be a late finding in patients with biliary sepsis, and includes alterations in mental status, right upper quadrant pain, fevers, hypotension and jaundice
Who is Benedict Reynolds
200
The named incision made when performing an open cholecystectomy
What is a Kocher incision (right subcostal incision)
200
The gallstone most associated with an infectious process
What are brown pigment stones
200
The most appropriate next step after identifying a hepatic duct transection
What is hepatico-jejunostomy
200
In addition to increasing gallbladder contraction, this GI hormone increases excretion of bile
What is CCK (cholecystokinin, secretin also increases bile excretion)
200
This German anatomist claimed to be the first to describe the main pancreatic duct. This claim later got him shot and killed!
Who is Johann Georg Wirsung
300
The location of the vascular supply to the common bile duct
What are 9 o'clock and 3 o'clock
300
The gallstones associated with hemolysis
What are black pigment stones
300
These are the 2 most common causes of shock post cholecystectomy
What is hemorrhagic shock from a clip falling off cystic artery, and later septic shock due to cholangitis from clipping of the common bile duct
300
This is where active resorption of conjugated bile occurs
What is the terminal ileum
300
This French Surgeon is credited with the description of the segmental anatomy of the liver in his seminal work Le Foie
Who is Clauid Couinaud
400
The most common vascular structure unintentionally injured during a laparoscopic cholecystectomy
What is the Right Hepatic Artery
400
The most common bacteria associated with pigment stones
What is E. coli
400
POD 7 lap chole's RUQ U/S shows 8x8cm fluid collection and this is the appropriate course of action.
What is percutaneous drainage
400
These are the two breakdown products of conjugated bilirubin that give rise to the pigment in urine and stool
What are Stercobilin (in stool) and urobilin (in urine)
400
This German anatomist is credited with describing this biliary variant. Careful! Failure to recognize it can lead to bile in your surgical drain!
Who is Hubert von Luschka
500
Dissection ventral to this sulcus is another safety precaution takin when performing a laparoscopic cholecystectomy because it can reliably simulate the plane of the right hepatic duct
What is Rouviere's Sulcus
500
In obese patients, this overactive enzyme is the thought to be the cause of cholesterol stones
What is HMGCoA reductase
500
An identified clip fell off the cystic duct post lap chole. this is the approriate management
What is ERCP, Sphincterotomy and temporary stent placement
500
This is the virus most commonly associated with acalculous cholecystitis
What is CMV
500
This American Surgeon, not yet deceased, first coined the term "The Critical View of Safety," for teaching safe laparoscopic cholecystectomy
Who is Steven Strasberg
