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Gastroenterologie > 5. Cholelithiasis > Flashcards

5. Cholelithiasis Flashcards

1
Q

(Cholelithiasis)

Formen von Gallensteinen (2)

A

90% Cholesterinsteine

10% Pigmentsteine

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2
Q

(Cholelithiasis)

Definition

A

Steine in der Gallenblase

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3
Q

(Cholelithiasis)

Risikofaktoren (6)

A

6F

  • Fat (Adipositas)
  • Fair (hellhäutig)
  • Family (+ Familienanamnese)
  • Female (weibliches Geschlecht)
  • Fertile (fruchtbares Alter, mehrere Kinder)
  • Forty (Alter > 40 J.)
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4
Q

(Cholelithiasis)

Leitsymptom

A

Bauchschmerz

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5
Q

(Cholelithiasis)

Schmerzanamnese (9)

A
  • Auslöser
  • Lokalisation
  • Ausstrahlung
  • Qualität
  • Verhalten
  • Nebensymptome
  • Dauer
  • Tageszeit
  • Entwicklung
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6
Q

(Cholelithiasis)

Schmerzqualität

A

kolikartig

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7
Q

(Cholelithiasis)

Tageszeit der Schmerzen

A

überwiegend nachts

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8
Q

(Cholelithiasis)

Schmerzdauer

A

> 15 min (bis 24h)

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9
Q

(Cholelithiasis)

Schmerzverhalten

A

schwer ruhig zu liegen

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10
Q

(Cholelithiasis)

Nebensymptome (2)

A
  • Übelkeit
  • Erbrechen
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11
Q

(Cholelithiasis)

Schmerzauslöser

A

üppige oder fettige Mahlzeiten

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12
Q

(Cholelithiasis)

Schmerzlokalisation (2)

A
  • Epigastrium

oder

  • Hypochondriaca Dextra
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13
Q

(Cholelithiasis)

Schmerzausstrahlung

A

bis in den Rücken und die rechte Schulter

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14
Q

(Cholelithiasis)

Differenzialdiagnostik einer Cholezystitis und Cholangitis (2)

A
  • Leukozyten
  • CRP
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15
Q

(Cholelithiasis)

Schmerzentwicklung (5)

A
  1. langsamer Beginn
  2. Verstärkung binnen 30-60 min
  3. Erreichen eines konstanten Niveaus
  4. Anhalten (etwa 6 Stunden)
  5. langsames Zurückgehen
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16
Q

(Cholelithiasis)

Bildgebung: 1. Wahl

A

Abdomensonografie

17
Q

(Cholelithiasis)

Therapie

A

elektive Cholezystektomie

18
Q

(Cholelithiasis)

elektive Cholezystektomie: Indikationen (2)

A
  • bei symptomatischer Cholelithiasis
  • bei asymptomatischer Cholelithiasis in einigen Fällen
19
Q

(Cholelithiasis)

elektive Cholezystektomie bei asymptomatischer Cholelithiasis: Indikationen (3)

A
  • Porzellangallenblase
  • Gallensteinen > 3 cm
  • Gallenblasenpolypen > 1 cm

Gastroenterologie (13 decks)

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