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19 Cards in this Set
- Front
- Back
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Difference in presentation of cholilethiasis vs. cholycystitis
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Cholelithiasis = RUQ pain that lasts for LESS than 24 hours, no fever or N/V or elevation WBC or elevated LFT. Cholecystitis = RUQ pain with quick onset (fever, N/V, tenderness to palpation)
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Cholelithiasis
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Stones in the gall bladder (only symptomatic if they block the outflow from the GB and it becomes distended)
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Cholecystitis
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Inflammation in the gall bladder (usually because of blockage of the duct)
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Treatment for choledocholethiasis
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Use ERCP to remove the stone immediately, will probably get GB removed later if there are stones
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What two tests are good for visualizing stones in the bile ducts?
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Endoscopic ultrasound and MRCP
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Extra symptom with choledocholethiasis that you do not have with cholelethiasis...
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Jaundice
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Charcot's Triad of symptoms for Ascending cholangitis
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RUQ pain, fever and jaundice
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Renyold's Pentad of symptoms for AScending Cholangitis
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RUQ pain, fever, jaundice, altered mental status and signs of shock (hypotension)
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risk factors for gallbladder cancer
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Female, > 50 years old, history of : gall stones, chronic cholycystitis, or procelain GB
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Only curative treatment for gallbladder cancer
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Surgery to remove GB
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cancer of bile ducts usually...
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Adenocarcinoma
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PResentation of Cholangiocarcinoma
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OBSTRUCTION of the bile duct -- jaundice, hepatomegaly, elevated LFT, pruritis, cholestasis, weight loss, ascites
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Risk factors for cholangiocarcinoma
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Sclerosing cholangitis (with IBD), congenital hepatic fibrosis, choledochal cysts
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Majority of pancreatic cancers are... (type of cancer)
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Adenocarcinoma
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Risk factors for pancreatic cancer
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Smoking and recent onset diabetes
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Presentation of pancreatic cancers
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Pain, weight loss, anorexia, N/V, jaundice
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How to diagnose pancreatic carcinoma if suspicion HIGH
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CT
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Risk factors (other conditions associated with) ampullary carcinoma
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FAP and ampullary adenoma
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Functional vs. nonfunctional neuroendocrine tumors
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functional are secreting LOTS of the peptide (glucagon, insulin, VIP, etc.)
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