23: Biliary Tree And Gallbladder

Question 1

Prevention methods against gallstones

Answer 1

1. CV fitness / physical activity
2. Low carb + high fiber diet
3. Consume coffee (women)
4. Consume Mg and unsaturated fats (men)
5. ASA, NSAIDs

Question 2

Gangrene of the gallbladder can cause what?

Answer 2

Perforation -> abscess -> peritonitis

Question 3

Emphysematous cholecystitis

Answer 3

Infection with a gas-forming organism -> hydrops, fistulization, gallstone ileus, porcelain gallbladder

Question 4

Big risk factor for emphysematous cholecystitis

Answer 4

Uncontrolled DM

Question 5

Treatment for emphysematous gallbladder

Answer 5

Urgent cholecystectomy

Question 6

What lab value must you always check before ERCP?***

Answer 6

INR (bc invasive)

Question 7

Complication from ERCP***

Answer 7

Acute pancreatitis