Bilary Surgery Flashcards

1
Q

fucnion of gall balddr

A

bile resoviisd, concentrate bile
secre bile after meals

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2
Q

what is cholesterosis

A

growth of cholesterol in and around the gall bladder

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3
Q

afte rwhat size polps should we be award of in gall balder

A

greater than 0.5 mm

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4
Q

proceducre to remove gall stones name

A

cholecytectomies

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5
Q

inflamation of gall bladder name

A

cholecystitis

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6
Q

what are gall stones normally made of

A

mixed, cholesterol, pigment

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7
Q

risk factors for gall stoens

A

age, gender, parity, ocp
cholesterol - obesity, ileal disaeh, cirrhosi, cf, heart translpalnt, delayed gb empitng
pigment - hameolgic aneiam, bile infection

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8
Q

who is more effected by gall stoesn male for emale

A

female

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9
Q

what is seen on presnaitno for gall stones

A

asymptomatic, dyspepifc sympis, bilary colic, acute cholecyties, empyerm, perfaito , gall stoesn ilues

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10
Q

what is choledocho lithisais

A

gall stosn in the common bile duct

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11
Q

presentioan of choledochisslis

A

incidnetla at cholecytemomy
jauncie
pain
asceing cholangitis
acute pancttie s

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12
Q

blood investion for gall stones

A

lft, ast, alp, alt, amylase, lipase, wcc

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13
Q

scans for gall stoens

A

uss
eus
oral cholecjyompys
ct
radioisotope scan
iv cholangiography
mrcp
ptc
ercp

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14
Q

what is the non operative mangement of gallstones

A

dissolution - makes bile thinner reducing reisk of more gall stoens and stopping incresi in sizeo

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15
Q

operatieve management of gall stoens

A

open cholecystectomy
mini cholecystectomy
laproscopic cholecytejy
single port cholecytemcy
notes cholecycomy

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16
Q

mini cholecystectomy

A

go though smaller area just above gall balder

17
Q

single port cholecytesm

A

go though umbilus nad work way up, requiring only one scle

18
Q

cholecystomcy

A

removal of hte gall bladder

19
Q

how to mange cbd stones

A

ercp, transhepic stone retrival , lap trnasy cystic cbd,laprosopic expaiton of common bile duct

20
Q

causes of bilary tract stricurle

A

gall stoens realed (mirrizie
larogenic (medicla procure
inflamatoyr
- pyogenic
parasic
psc
pancreatiiss
hiv

21
Q

what is bilary atreais

A

born wiht narrowing of cetian tuebs form gall bladder or hepatic bile duct or common bile duct

22
Q

what are choldochal cyts

A

cyst, some hwere on the bilary tree

23
Q

scoring catogory for latrogenic bile duct injuries

A

strasberg classificaiton

24
Q

what is a bilary enteric fistula

A

where a large bile sone for teh gall bladder is related leading to a blockage inteh small bowle

25
Q

what are maligant jaundice tumors

A

cancer of hte head of hte pancre
cholagniocarcinoma

26
Q

cholangiocarcioma

A

cacncer of the bilary tree

27
Q

risk factors for cholangocarcioma

A

psc, congeigal cystic disease, bilary entetic drainage
thorstas
carciogens

28
Q

types of intrahepaic cholangiomas

A

mass forming, pericucla intraaductio

29
Q

treatmenf or cholangiocarina

A

curative
suergyer

pallative
surical bipayse
radiotherapy
chemotherapy
PDT
liver transplant

30
Q

presentaio of cholangiocarnio

A

obstuctive juandice
ichtinc
non speficic symptoms

31
Q

investigations fo cholangiocarcimona

A

lab, uss, eus ct, mra , mrcp, ptc ercp, agnoigramy , chalaiopy cytoloyg

32
Q

types of ampulary tumoru

A

adenoma vs adenocarcioma

33
Q

treatment fo rampullary tumours

A

endoscopci excistion
trans duodenal excision
pancreatico duodenectomy

34
Q
A