Billiary Disease Flashcards
1
Q
What is biliary colic
A
Pain cause by Stones in the gallbladder (no jaundice)
2
Q
What are the risk factors for getting biliary stones
A
The 4 F’s Female, forty, fertile, fat
3
Q
How does biliary colic present?
A
- Severe pain in RUQ
- radiation to the right shoulder and back
- worse after eating and worse after eating fatty foods
4
Q
How do you investigate gallstone
A
- bloods: FBC, U&E,Amalayse. CRP, clotting
- Ultrasound scan: dilated duct, wall oedema and stones
- if dilated ducts seen do MRCP
5
Q
How should we manage gallstones
A
- conservatively managed mostly - with analgesia and lots of fluids (NBM just in case need to go to theatre)
- cholecystectomy: definite management
