Biliary tree pathologies Flashcards
What are the risk factors for gall stones?
fat
female
fair
fertile
forty
What is cholilithiasis?
Presence of gall stones in gall bladder, often asymptomtic
What is cholecystitis?
Inflammed gall bladder
What is choledocholithiasis?
Stones in CBD
Medical emergency as it could lead to ascending cholangitis
What is ascending cholangitis?
Bacteria ascend from duodenum.
SIRS
DIC
What are the risk factors for acute pancreatitis?
Alchohol
Gall stones
What are the risk factors for chronic pancreatitis?
Alcohol
What is the telltale sign of Pancreatic cancer?
Double duct
Painless Jaundice
What is the tumour marker for pancreatic cancer?
Ca 19-9
What is a mucoceale?
Mucous in the gall bladder, blocking it
What is an empyema?
Pus on gall bladder
What is a mirizi sign?
Stone in cystic duct blocking CBD and causing jaundice
What is a sphinter of oddi?
What happens with a sphincer of oddi dysfunction?
Can close and cause acute pancreatitis
What is murphys sign?
Breathe out - hand on right costal margin. pain on inspiration.
Only positive if pain not illicited on other side.
