Gallbladder Pathology Quiz

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What is the most common liver pathology associated with the gallbladder pathology on the image?

Hepatoma

Focal nodular hyperplasia

Sludge

Acute hepatitis (correct)

What is the most probable diagnosis for a patient presenting with an enlarged gallbladder filled with echogenic material that does not shadow?

Tumefactive sludge

Sludge (correct)

Gallstones

Empyema of the GB

What change in transducer frequency would improve the detectability of stone shadowing during gallbladder sonography?

Decrease transducer focusing

Increase output power

Increase transducer frequency

Decrease transducer frequency (correct)

In a patient with low-level echoes within the gallbladder consistent with sludge and no thickening of the gallbladder wall, what statement below is true?

The patient has sludge most likely due to bile stasis. Signup and view all the answers

In a patient with sickle cell anemia showing gallstones and gallbladder wall thickening, what should be done to determine if acute cholecystitis is present?

Look carefully to see if a gallstone is lodged in the gallbladder neck. Signup and view all the answers

What is the most common disease of the gallbladder according to the text?

Cholelithiasis Signup and view all the answers

Which sonographic finding is characteristic of a pericholecystic abscess?

Hypoechoic mass or area surrounding the gallbladder secondary to debris Signup and view all the answers

Which term is used to describe a gallbladder that appears enlarged with a thin wall?

Hydropic gallbladder Signup and view all the answers

What is the significance of the 'WES sign' in gallbladder imaging?

It helps differentiate acute from chronic cholecystitis Signup and view all the answers

Which finding is characteristic of sludge in the gallbladder on ultrasound?

Clean dark posterior shadowing with distinct margins Signup and view all the answers

Which laboratory finding is commonly associated with bile flow obstruction?

Increased risk of stone formation Signup and view all the answers

Which symptom is NOT associated with gallbladder inflammation?

Jaundice Signup and view all the answers

What does an increased direct bilirubin indicate?

Obstruction of bile flow Signup and view all the answers

What is the purpose of a HIDA scan?

To evaluate for biliary obstruction Signup and view all the answers

What is a characteristic feature of sludge in the gallbladder appearance on ultrasound?

Moves slowly with patient repositioning Signup and view all the answers

Which condition can sludge balls in the gallbladder mimic on ultrasound?

Hemobilia Signup and view all the answers

What is the appearance of 'Milk of calcium' bile on ultrasound?

'Limey' thick pasty form Signup and view all the answers

What is the most common cause of wall inflammation in acute cholecystitis?

'Stone' obstruction in the cystic duct Signup and view all the answers

'Emphysematous Cholecystitis' is characterized by which feature on ultrasound?

'Champagne sign' Signup and view all the answers

Which condition involves decreased blood supply to the gallbladder resulting in tissue death and abscesses?

Gangrenous Cholecystitis Signup and view all the answers

What is a characteristic feature of 'Tumefactive sludge balls' in the gallbladder?

Non-shadowing appearance Signup and view all the answers