Biliary

Question 1

hallmarks of cholelithiasis

Answer 1

FEMALE, FAT, FORTY, FERTILE
RUQ pain after a fatty meal
can also be from rapid weight loss

Question 2

cholelithiasis tx

Answer 2

elective cholecystectomy

cheno and ursodeoxychoic acid

Question 3

cholecystitis

Answer 3

inflammation of the gallbladder, associated w/gallstones

dx via US

Question 4

cholecystitis tx

Answer 4

3rd gen cephalosporins + metro

cholecystecomy within 24 hours

Question 5

choledocholithiasis

Answer 5

stone anywhere in the CBD
GB isn’t draining, along with liver
Can also include all 3 if it blocks the pancreatic duct as well

Question 6

charcots triad is associated with

Answer 6

cholangitis
fever
RUQ
jaundice
plus hypotnesion/AMS = raynauds pentad

Question 7

best test for choledocholithiasis

Answer 7

ERCP

Question 8

pancreatitis symptoms

Answer 8

Epigastric/RUQ pain 2/2 inflammation pancreas
Frequently radiates to back, relieved by leaning forward
Almost always associated with N/V

Question 9

lab findings of pancreatitis

Answer 9

Elevations in amylase/lipase, WBC
Lipase stays elevated longer and more specific
Amylase increased with salivation, renal failure
Generally amylase/lipase >3x upper limit or normal
High ALT suggests biliary pancreatitis

Question 10

retroperitoenal hemorrhage associated w/pancreatitis is known as

Answer 10

gray turner sign

Question 11

sentinel loop on xray is associated with

cut off sign

Answer 11

small bowel

large bowel

Question 12

MCC pancreatitis

2nd MCC

Answer 12

Etoh

gallstones

Question 13

pancreatitis tx

Answer 13

• IV fluids
• NPO bowel rest
• no anbx unless febrile

Question 14

chronic pancreatitis causes

Answer 14

Toxic-metabolic
Idiopathic
Genetic
AI
Recurrent
Obstructive
dx via ERCP

Question 15

when to treat pancreatic cancer?

Answer 15

Only recommend as curative if localized disease

WHIPPLE