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21 Cards in this Set
- Front
- Back
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Classically, what is thought to be the anatomic location where one first finds evidence of jaundice?
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Under the tongue
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What is cholelithiasis?
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Cholelithiasis means only one thing: the presence of gallstones.
It does not imply disease. |
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What is choledocholithiasis?
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Choledocholithiasis means one thing only: the presence of gallstones in the COMMON bile duct.
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What is the term for the presence of gallstones in the common bile duct?
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Choledocholithiasis
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What is cholecystitis?
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Cholecystitis means one thing only: inflammation of the gallbladder.
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What is cholangitis?
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Cholangitis refers to infection of the biliary tract.
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Where do patients typically experience the pain of biliary colic?
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The pain of biliary colic is usually located in the RUQ, epigastrium, or right subscapular region of the back.
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Name the classic precipitating factor of biliary colic.
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The pain of biliary colic is classically brought on postprandially, esp. after eating fatty foods.
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What is a biloma?
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A biloma is an intraperitoneal bile fluid collection.
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What is the name of an intraperitoneal collection of bile fluid?
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Biloma
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What is the initial diagnostic study of choice for evaluation of the biliary tract or gallbladder?
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Ultrasound
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What are the two types of gallstones?
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1) Gallstones
2) Pigmented stones There are two types of pigmented stones: black and brown. |
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What are the two types of pigmented gallstones?
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Black and brown
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What is the management of choledocholithiasis?
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ERCP with papillotomy (sphincterotomy) and basket retrieval of stones
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What is the major feared complication of ERCP?
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Pancreatitis
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Name 2 potential complications of acute cholecystitis.
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Rupture of gallbladder
Abscess |
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What is the diagnostic test of choice for acute cholecystitis?
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Ultrasound
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What are potential findings on ultrasound for acute cholecystitis?
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Gallstones
Distended gallbladder Thickened gallbladder walls Fluid in the area ('pericholecystic fluid") |
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What are the signs/symptoms of ascending cholangitis?
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1) Charcot's triad
-fever, jaundice, and RUQ pain 2) Reynold's pentad -Charcot's triad + altered mental status and shock |
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What is most common cause of ascending cholangitis?
Not the organism responsible, but the reason the infection develops in the first place. |
Choledocholithiasis.
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What is suppurative cholangitis?
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Cholangitis with sepsis
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