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GI Summary Sheets > Biliary Disease > Flashcards

Biliary Disease Flashcards

1
Q

What is Cholangitis?

A

Inflammation of the bile duct

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2
Q

What is Acute Cholecystitis?

A

Inflammation of the gall bladder

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3
Q

What causes Cholangitis?

A

Infection
Gallstones
Primary Sclerosing Cholangitis

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4
Q

What is inflammation of the bile duct caused by bacteria called?

A

Acute Ascending Cholangitis

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5
Q

Symptoms of Cholangitis?

A

RUQ Pain

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6
Q

Treatment of Cholangitis?

A

IV Cephlasporin

Urgent Biliary Drainage

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7
Q

What causes Acute Cholecystitis?

A

Blockage of the cystic duct or the neck of gallbladder

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8
Q

Symptoms of Acute Cholecystitis?

A

RUQ Pain, Radiates to the shoulder

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9
Q

RUQ pain?

A

Cholangitis

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10
Q

RUQ Pain radiating to shoulder?

A

Cholecystitis

Gallstones

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11
Q

RUQ Pain radiating to back?

A

Pancreatitis

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12
Q

Investigations in Cholecystitis?

A

Ultrasound
ERCP
CT

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13
Q

Management of Cholecystitis?

A

Nil by mouth
IV Fluid
Cefuorxime
Cholecystectomy

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14
Q

Chronic Cholecystitis?

A

Vague abdominal symptoms

Ultrasound shows gallstones and dilated bile duct

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15
Q

Cholecystitis treatment?

A

ERCP

Cholecystectomy

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16
Q

Common gallstone causes?

A 
Female
Fat
Forty
Foetus
Fair (White)
17
Q

What causes gallstones?

A

Abnormal bile composition causes bile hardening

18
Q

Presentation of gallstone?

A

Asymptomatic (Many)
Biliary Colic
Pain radiates to shoulder

19
Q

Describe Gallbladder cancer?

A

Rare

AdenocarcinomA

20
Q

Describe Bile Duct Cancer?

A

Cholangiocarcinoma or Adenocarcinoma

Associated with UC and Primary Sclerosing Cholangitis

21
Q

What is pancreatitis?

A

Acute inflammation of the pancreas

22
Q

Describe the symptoms of Pancreatitis?

A

RUQ pain, radiates to the back

23
Q

Causes of Pancreatitis?

A 
I GET SMASHED
Idiopathic
Gallstones
Ethanol
Trauma
Steroids
Mumps/Malignancy
Autoimmune
SCORPION STINGS
Hyperlipidaemia/Hypercalcaemia
Drugs
24
Q

Describe Chronic Pancreatitis?

A

May develop after many bouts of acute pancreatits

25
Q

Carcinoma of Pancreas?

A

Adenocarcinoma
Associated with smoking, diabetes and pancreatitis
Poor Prognosis

26
Q

What is Peritonitis?

A

Inflammation of the peritoneum

Usually a surgical rupture

27
Q

Describe Cholecystitis and Peritonitis?

A

Inflammation of the gall bladder causes localised peritonitis

28
Q

Symptoms of Peritonitis?

A

Sudden acute abdominal pain

Worse on movement (Coughing)

GI Summary Sheets (27 decks)

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