Barrone Ch. 16-20

Question 1

2 main types of stones

Answer 1

Cholesterol and Billirrubinate stones

Question 2

Risk factors for Chol Stones

Answer 2

Supersaturated bile, females, obestity, pregnancy, OC(oral contraceptives)

Question 3

Risk factors for Billirrubinate Stones

Answer 3

Hemolytic anemia + Inf (ascending cholangitis)

Question 4

Complications of Cholithiasis

Answer 4

Acute Cholecystitis, Biliary Tract inf, Gallstone pancreatitis (stuck on ampulla of vater), Ascending cholangitis

Question 5

Acute cholecystitis presentation and complic

Answer 5

RUQ pain, Murphy’s sign, F, N/V

Complic: Peritonitis/ Fistula tract (=gallstone ileus)

Question 6

Chronic cholecystitis presentation and complic

Answer 6

Rokitansky-Aschoff sinuses (hallmark in gallbladder= because of stone lesions), Porcelain gallbladder (but it’s more common in Ca)

Question 7

Ascending cholangitis hallmarks

Answer 7

Fever + Jaundice, e.Coli

Question 8

Cholesterolosis hallmarks

Answer 8

Strawberry gallbladder (yellow specks from cholesetrol)= no clinical signigicance

Question 9

Cancer of Gallbladder hallmarks

Answer 9

Courvoisier Law (painless and palpable= CANCER), Porcelain Gallbladder, 1% survival

Question 10

Ca of Bile ducts

Answer 10

Colangiocarcinoma, Klatskin (best Prognosis), Bile duct Cancer

Risk Factors: Liver Fluke (fasciola hepatica), **Primary schlerosing Cholangitis

PAINLESS JAUNDICE!!!
Usually Adenocarcinoma.