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  #1  
Old 02-08-2011
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Arrow Test your knowledge #5! (Pathology/Anatomy)

A 55-year-old female presents to the Emergency Department with constant moderate upper abdominal pain, radiating to the right scapula, accompanied by severe nausea. Ultrasound reveals pericholecystic fluid and thickening of the gallbladder wall, along with several stones in the gallbladder and two lodged in the ____________.
  1. Common bile duct
  2. Common hepatic duct
  3. Cystic duct
  4. Pancreatic duct
  5. Sphinctre of Oddi
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  #2  
Old 02-08-2011
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Cystic duct I think
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Old 02-08-2011
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C. Cystic duct is the correct asnwer.
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Old 02-08-2011
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Default the answer is shouting

Please do not tell me it is not the cystic duct.
it is a straightforward Q. and i thought a lot trying to find another answer other than the cystic duct but i coudln't:sorry:
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Old 02-08-2011
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Default Answer is C. Cystic duct

It is certainly the cystic duct - no tricks this time!



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Old 02-08-2011
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Hey shawan!

Nice work man... simple and sweet. I like your explanation... picture has thousand words...
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Old 02-09-2011
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aktorque and mondoshawan , guys both of you are amazing , keep up the good work guys
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Old 02-09-2011
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I guess its the cystic duct becos of the pericholecystic collection and the thickened gall bladder wall, else it could as well be in the common bile duct or is there any other explanation
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Old 02-09-2011
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Quote:
Originally Posted by ibukun View Post
I guess its the cystic duct becos of the pericholecystic collection and the thickened gall bladder wall, else it could as well be in the common bile duct or is there any other explanation
You're exactly right - those are direct indications of cholecystitis, which is almost always (90%) caused by a stone in the cystic duct.
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Anatomy-, Gastrointestinal-Tract-, Pathology-

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