Biliary Tract Disorders Flashcards
What is the treatment for asymptomatic gallstones?
none
Your patient has episodic biliary pain in the RUQ with radiation to right scapula. What is it?
gallstones
Your patient has steady biliary pain in the RUQ with nausea, vomiting, and fever but no jaundice or chills. What is it?
acute cholecystitis
What is the treatment for acute cholecystitis?
laparoscopic cholecystectomy
Your patient has steady biliary pain in the RUQ with nausea, vomiting, and jaundice but no hypothermia or leukocytosis following a fever. What is it?
choledocholithiasis
Your patient has steady biliary pain in the RUQ with Charcot triad. What is it?
cholangitis
What is Charcot triad?
pain, fever + chills, jaundice: classic sign of cholangitis
What is the treatment for choledocholithiasis with cholangitis?
endoscopic sphincterotomy followed by laparoscopic cholecystectomy within 3-14 days
What is the most common and first sign of biliary tract carcinoma?
progressive jaundice
Bile duct obstruction lasting longer than ____ results in liver damage leading to cirrhosis.
30 days
Your patient is a 49 year old woman with a history of Sjögren syndrome complaining of jaundice, steatorrhea, and fatigue. Upon physical exam you find xanthomas and hepatosplenomegaly. You conclude that she has this disease, which is characterized by autoimmune destruction of intrahepatic bile ducts and cholestasis. What is it?
primary biliary cirrhosis
Your patient is a 35 year old male with ulcerative colitis now complaining of RUQ pain, fatigue, itching, and anorexia. What is it?
primary sclerosing cholangitis
Smoking is associated with a decreased risk of what?
ulcerative colitis, primary sclerosing cholangitis
Gallstones are more common in ________-Americans than in other groups.
Mexican Americans
