Biliary Obstructions

2. Diagnostic/therapeutic; Dye injected into biliary tree for visualization and removal of obstruction
4. presence of gallstones in the common bile duct
6. Disease associated with strictures in biliary tract d/t chronic infections (Crytptosporidium, CMV)
7. increases second messengers IP3/Ca2+; causes gallbladder contraction
8. air in biliary tree, seen on imaging
10. Bowel Obstruction due to obstructive gallstones
11. RUQ pain, fever, jaundice (Triad associated with complication of obstruction)
13. '____ skinning' pattern of fibrosis seen in Primary sclerosing cholangitis
15. transient postprandial pain caused by inflammation of gall bladder due to stasis
18. precipitation of bilirubin polymers caused by hemolysis
21. junction between pancreatic and common bile ducts
22. appearance of gallstones on x-ray
23. cause of idiopathic biliary obstruction in neonates
25. imaging finding on MRCP for chronic inflammatory process causing dilation and strictures of bile duct
29. Neoplastic stricture causing biliary obstruction
31. Valve where large gallstone obstruction frequently occurs
32. type of malignancy that occurs secondary to recurrent s.typhi infections
33. Gram stain of pathogens cause of ascending cholangitis
34. ____ gallbladder; chronic inflammation that increases risk for carcinoma
35. Biliary _____; caused from chronic obstruction d/t gallstone, pancreatic cancer, biliary stricture

1. occurs when gallstone erodes gallbladder wall
3. positive lab finding in disease of fibrotic remodeling of common bile duct
4. type of bilirubin that builds up in blood secondary to obstruction/bile stasis
5. Made up of bilirubin, bile salts, cholesterol
7. _____ duct; site of obstruction causing pancreatitis
9. signs of cholecystitis and cholangitis
11. component of most common gallstone; increased d/t altered lipid metabolism; emulsified by bile salts
12. autoimmune disorder causing strictures in the biliary tree
14. site of stone formation in primary choledocholithiasis
16. ____ duct; site of obstruction causing cholecystitis
17. Trematode responsible for cholangitis
19. lysosomal enzyme that deconjugates bilirubin, found in intestinal brush border
20. causes inflammation of terminal ileum, decreasing resorption of substance that causes itching
24. increases risk for development of stones formed from lipids
26. elevated in disease associated with UC
27. type of stimulation that causes release of hormone causing biliary colic
28. WBCs, lipase, amylase, and LFTs in cholelithiasis
30. stone caused by mixture of polymers d/t increased level of unconjungated bilirubin due to infection or parasite; associated with parasitic fluke