Biliary tract disorders Flashcards
1
Q
Cholelithiasis- Eti
A
- Most commonly cholesterol stones
- Fat, female, forty
- Pima & American- high incidence
2
Q
Cholelithiasis- Sx
A
- Asymptomatic
- Infrequent, steady severe pain in epigastrum, RUQ
- Sx present at night, resolve in 2-6 hrs
3
Q
Cholelithiasis- Dx
A
- US, may not be visible
4
Q
Cholelithiasis- Tx
A
- Nothing- NSAIDs for pain
- Resection if needed
5
Q
Acute cholecystitis- Eti
A
- 90% due to gallstone impaction & subsequent inflammation
- Acalculous rare- in critically ill patient, infectious agent
6
Q
Acute cholecystitis- Sx
A
- Precipitated by large/ fatty meal
- Sudden, severe in epigastrum & rt hypochondrium
- Vomiting reliefs
- RUQ tenderness
- Palpable gallbladder
7
Q
Acute cholecystitis- Dx
A
- Hepatobiliary nuclear imaging to show obstruction
8
Q
Acute cholecystitis- Tx
A
- Cholecystectomy
- Subsides with conservative measures- abx, iv feeding, analgesics
9
Q
Chronic cholecystitis- Eti
A
Repeated episodes of acute or chronic gallbladder irritation
10
Q
Chronic cholecystitis- Tx
A
Cholecystectomy
11
Q
Choledocholithiasis- Eti
A
- 15% of pt with gallstones
- Rise with age
- Stones in bile duct
12
Q
Choledocholithiasis- Sx
A
- Hx of biliary pain with jaundice
- N/V
- Recurring RUQ pain persists for hrs
- Hepatomegaly
13
Q
Choledocholithiasis- Dx
A
- ERCP
14
Q
Choledocholithiasis- Tx
A
- Dilation & removal of stones with ERCP
15
Q
Biliary Tract Carcinoma- Eti
A
- 10-25% of hepatobiliary malignancy
- 50-70 asian males
- Hx of gall infections, polyps
