Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
20 Cards in this Set
- Front
- Back
|
What are the 4 F's?
|
Female
Forty Fertile Fat |
|
|
Patients <20 years with gallstones should undergo workup for what?
|
Spherocytosis or hemoglobinopathy
|
|
|
Which asymptomatic patients with gallstones should receive a cholecystectomy?
|
Porcelain Gallbladder (calcified gallbladder walls)
Native American descent with gallstones These pts have Increased risk of developing gallbladder cancer |
|
|
What causes biliary colic?
|
Gallstone impaction in cystic or common bile duct?
|
|
|
Sharp colicky pain made worse by eating, particularly fats
|
Biliary Colic
|
|
|
What is the treatment for biliary colic?
|
Cholecystectomy to prevent future complications.
|
|
|
What happens when you have an obstructed gallbladder and secondary infection?
|
Cholecystitis
|
|
|
What bugs cause Cholecystitis?
|
E-Coli
Enterobacter cloacae Enterococcus Klebsiella |
|
|
Sudden onset, sever, steady pain in RUQ/epigastrum, muscle guarding/rebound, positive Murphy's sign
|
Cholecystitis
|
|
|
What is seen on U/S for Cholecystitis?
|
Gallstones, pericholecystic fluid & thickend GB wall.
|
|
|
Passage of stone through the cystic duct, can obstruct CBD
|
Choledocholithiasis
|
|
|
Obstructive jaundice, Increased conjugated bilirubin, hypercholesterolemia, increased alkaline phosphatase
|
Choledocholithiasis
|
|
|
What is the tx for choledocholithiasis?
|
Lap Chole
|
|
|
Results from secondary bacterial infection of obstructed CBD, facilitated by obstructed bile flow.
|
Ascending Cholangitis
|
|
|
What classic triad/pentad is seen with Ascending Cholangitis?
|
Charcot's triad
Reynold's pentad |
|
|
How is Ascending Cholangitis treated?
|
ERCP, PTC to decompress biliary tree and remove obstructing stones
|
|
|
What is the most common tumor of the gallbladder?
|
Adenocarcinoma
|
|
|
GB CA is frequently associated with what infection?
|
Clonorchis sinesis
|
|
|
What is Klatskin's tumor?
|
When the tumor occurs at the confluence of the hepatic ducts forming the common duct
|
|
|
What is Courvoisier's Law?
|
Gallbladder enlarges when CBD is obstructed by pancreatic CA but not enlarged when CBD is obstructed by a stone
|
