Biliary I

Question 1

Cholelithiasis

Answer 1

stones in the gallbladder

Question 2

Cholecystitis

Answer 2

inflammation of the gallbladder

Question 3

Choledocholithisasis

Answer 3

stones in the common bile ducts

Question 4

Cholangitis

Answer 4

inflammation of the bile ducts

Question 5

Cholestasis

Answer 5

distribution of the bile flow

Question 6

Cholelithiasis risk factors (7)

Answer 6

age over 40 
females 
pregnancy 
obesity 
rapid weight loss 
estrogen ethnicity

Question 7

After a pregnancy scare a women in her 40s began taking birth control bills 4 months ago she now presents with intense pain in her RUQ, what do you suspect she has? what is your vital test?

Answer 7

cholelithiasis - cholesterol stones

the initial test of choice is ultrasound

Question 8

majority of patients with cholelithiasis present how?

Answer 8

asymptomatically

Question 9

is a cholecystectomy recommended for those with cholelithiasis who are asymptomatic?

Answer 9

no very unlikely to progress to symptomatic disease

however it is recommended if they are symptomatic

Question 10

dull constant RUQ pain with possible radiation to right shoulder blade is associated with what?

Answer 10

Biliary Colic

Question 11

Biliary Colic
triggers
associated symptoms
symptoms last how many hours

Answer 11

following a fatty meal
N/V/ diaphoresis
4-6 hours, symptoms are temporary

Question 12

Biliary Colic
Skin exam
Abdominal exam

Answer 12

no jaundice

possible RUQ tenderness

Question 13

Biliary Colic labs should show what abnormalities

Answer 13

none

Question 14

Biliary Colic preferred initial test

Answer 14

ultrasound, gallstones and or gallbladder slide are expected