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23 Cards in this Set
- Front
- Back
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What is cholelithiasis?
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Gallstones
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What % of the US population has gallstones?
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10%
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What is the F:M ration of gallstones?
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2:1 F:M
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Pigmented gallstones occurs in what type of disorders?
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Hemolytic disorders: ex sickle cell
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What is one possible cause of biliary sludge?
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Sudden weight loss because don't have CCK to release bile
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How many people with gallstones develop symptoms?
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Only 10-20%
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What describes biliary pain?
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Sudden, severe, steady
RUQ or epigastric Radiation to R should/scapula Duration: 15min |
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What is acute cholecystitis?
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Acute cholecystitis is a sudden inflammation of the gallbladder that causes severe abdominal pain
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What is the treatment for cholecystitis?
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Cholecystectomy - removal of the gallbladder
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What can cause acute gallstone pancreatitis?
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Gallstone blocking common bile duct and pancreatic duct
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What is choledocolithiasis?
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The presence of a gallstone in the common bile duct.
Can be life threatening. Most common cause of cholangitis (infection of the common bile duct) |
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What is treatment for choledocolithiasis?
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ERCP
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Gallstone pancreatitis is associated with what lab values?
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Elevated LFTs
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Gallstone pancreatitis is a common cause of what?
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Severe, acute pancreatitis
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Usually gallstone pancreatitis responds to what?
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Supportive care, will pass
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What is seen radiologically in a pancreatic head carcinoma?
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Double duct sign
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What is the first choice in treatment for malignant biliary obstruction?
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ERCP (Endoscopic retrograde cholangiopancreatography)
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What is a major complicatio of fixed diameter plastic stents?
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Occlusion
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What is a newer intervention that tries to solve some of the problems with plastic stents?
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Self expanding metallic stents
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What is the main treatment in a bile duct leak?
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Stent
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What is primary sclerosing cholangitis?
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a chronic liver disease caused by progressive inflammation and scarring of the bile ducts of the liver
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What are 2 important histological findings of PSC?
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1. Fibrous obliteration of small bile ducts
2. Concentric FIbrosis, "onion skinning" |
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In PSC, what is seen on cholangiography?
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Beads on a string
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