Chapter 51: Liver- Hemobilia Flashcards

1
Q

What is it?

A

Blood draining via the common bile duct into the duodenum

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2
Q

What is the diagnostic triad?

A

Triad:

  1. RUQ pain
  2. Guaiac positive/upper GI bleeding
  3. Jaundice
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3
Q

What are the causes?

A
  1. Trauma with liver laceration
  2. percutaneous transhepatic cholangiography (PTC)
  3. tumor
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4
Q

How is the diagnosis made?

A

EGD (blood out of the ampulla of Vater)

A-gram

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5
Q

What is the treatment?

A

A-gram with embolization of the bleeding vessel

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6
Q

What is bilhemia?

A
  • Seen after trauma
  • connection of bile ducts and venous system resulting in rapid and very elevated serum bilirubin
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