Biliary Disease Flashcards
What is Cholangitis?
Inflammation of the bile duct
What is Acute Cholecystitis?
Inflammation of the gall bladder
What causes Cholangitis?
Infection
Gallstones
Primary Sclerosing Cholangitis
What is inflammation of the bile duct caused by bacteria called?
Acute Ascending Cholangitis
Symptoms of Cholangitis?
RUQ Pain
Treatment of Cholangitis?
IV Cephlasporin
Urgent Biliary Drainage
What causes Acute Cholecystitis?
Blockage of the cystic duct or the neck of gallbladder
Symptoms of Acute Cholecystitis?
RUQ Pain, Radiates to the shoulder
RUQ pain?
Cholangitis
RUQ Pain radiating to shoulder?
Cholecystitis
Gallstones
RUQ Pain radiating to back?
Pancreatitis
Investigations in Cholecystitis?
Ultrasound
ERCP
CT
Management of Cholecystitis?
Nil by mouth
IV Fluid
Cefuorxime
Cholecystectomy
Chronic Cholecystitis?
Vague abdominal symptoms
Ultrasound shows gallstones and dilated bile duct
Cholecystitis treatment?
ERCP
Cholecystectomy
Common gallstone causes?
Female Fat Forty Foetus Fair (White)
What causes gallstones?
Abnormal bile composition causes bile hardening
Presentation of gallstone?
Asymptomatic (Many)
Biliary Colic
Pain radiates to shoulder
Describe Gallbladder cancer?
Rare
AdenocarcinomA
Describe Bile Duct Cancer?
Cholangiocarcinoma or Adenocarcinoma
Associated with UC and Primary Sclerosing Cholangitis
What is pancreatitis?
Acute inflammation of the pancreas
Describe the symptoms of Pancreatitis?
RUQ pain, radiates to the back
Causes of Pancreatitis?
I GET SMASHED Idiopathic Gallstones Ethanol Trauma Steroids Mumps/Malignancy Autoimmune SCORPION STINGS Hyperlipidaemia/Hypercalcaemia Drugs
Describe Chronic Pancreatitis?
May develop after many bouts of acute pancreatits
