Biliary Disease Flashcards

1
Q

Is PBC male or female predominant?

A

Female

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is cholelithiasis?

A

The presence of gallstones in the gallbladder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is acute cholecystitis?

A

Acute inflammation of the gallbladder?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is cholangitis?

A

Inflammation of the biliary tree

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is choledocholithiasis?

A

Stones in the common bile duct

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is cholangiocarcinoma?

A

Cancer of the common bile duct

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the risk factors for gallstones?

A
Female 
Fat 
Forty 
Fertily OCP 
Obesity
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the 2 types of gallstones?

A

Cholesterol

Pigment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

In what % are gallstones usually clinically silent ?

A

About 80%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the symptoms of non-clinically silent gallstones?

A

Biliary colic pain
Empyema
Perforation
Dyspeptic symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What investigations should be carried out for suspected gallstones?

A
LFT's
Amylase 
Lipase 
WCC 
USS
EUS
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the treatment for gallstones?

A

If asymptomatic do nothing
Try to break down the stones - ursodeoxycholic
Surgical - laparoscopic cholecystectomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are the risk factors for cholecystitis?

A

Female
Increasing age
Obesity
Having gallstones

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the most common cause of acute cholecystitis?

A

Gallstones

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the symptoms of acute cholecystitis?

A
Right upper quadrant pain 
Nausea 
Vomiting 
Anorexia 
Jaundice (mild)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What investigations should be carried out for cholecystitis?

A

Blood tests for inflammation signs
Bilirubin
WCC
Ultrasound

17
Q

What is the gold standard non-invasive imaging technique for the gallbladder?

A

Ultrasound

18
Q

Which medication should be prescribed for biliary disease to relieve the itching from jaundice?

A

Cholestyramin

19
Q

What are the symptoms of choledocholithiasis?

A
Abdominal pain 
Fever
Jaundice - severe
Loss of appetite 
Nausea 
Vomiting 
Puritis
20
Q

What investigations should be done for choledocholithiasis?

A
USS
Abdominal CT 
EUS 
ERCP 
MRCP 
amylase 
Lipase 
WCC 
Bilirubin 
LFT