Biliary Disease Flashcards
Is PBC male or female predominant?
Female
What is cholelithiasis?
The presence of gallstones in the gallbladder
What is acute cholecystitis?
Acute inflammation of the gallbladder?
What is cholangitis?
Inflammation of the biliary tree
What is choledocholithiasis?
Stones in the common bile duct
What is cholangiocarcinoma?
Cancer of the common bile duct
What are the risk factors for gallstones?
Female Fat Forty Fertily OCP Obesity
What are the 2 types of gallstones?
Cholesterol
Pigment
In what % are gallstones usually clinically silent ?
About 80%
What are the symptoms of non-clinically silent gallstones?
Biliary colic pain
Empyema
Perforation
Dyspeptic symptoms
What investigations should be carried out for suspected gallstones?
LFT's Amylase Lipase WCC USS EUS
What is the treatment for gallstones?
If asymptomatic do nothing
Try to break down the stones - ursodeoxycholic
Surgical - laparoscopic cholecystectomy
What are the risk factors for cholecystitis?
Female
Increasing age
Obesity
Having gallstones
What is the most common cause of acute cholecystitis?
Gallstones
What are the symptoms of acute cholecystitis?
Right upper quadrant pain Nausea Vomiting Anorexia Jaundice (mild)
What investigations should be carried out for cholecystitis?
Blood tests for inflammation signs
Bilirubin
WCC
Ultrasound
What is the gold standard non-invasive imaging technique for the gallbladder?
Ultrasound
Which medication should be prescribed for biliary disease to relieve the itching from jaundice?
Cholestyramin
What are the symptoms of choledocholithiasis?
Abdominal pain Fever Jaundice - severe Loss of appetite Nausea Vomiting Puritis
What investigations should be done for choledocholithiasis?
USS Abdominal CT EUS ERCP MRCP amylase Lipase WCC Bilirubin LFT
