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Y3 GI Conditions > Complications of gallstones > Flashcards

Complications of gallstones Flashcards

1
Q

Explain the sudden pain of biliary colic

A

Sudden GS block cystic duct

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2
Q

Location of pain in biliary colic

A

Intermittent RU pain

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3
Q

When is pain in biliary colic worse

A

After meals

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4
Q

Is there fever/jaundice in biliary colic

A

No

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5
Q

Murphy’s sign in biliary colic

A

-ve

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6
Q

Surgery for biliary colic

A

Elective cholecystectomy

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7
Q

Acute cholecystitis

A

GB inflammation

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8
Q

Pathology of acute cholecystitis

A

BD blocked —> bile build up —> inflam

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9
Q

Radiation of acute cholecystitis pain from RU quadrant

A

Right shoulder tip

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10
Q

Is there fever in acute cholecystitis

A

Yes

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11
Q

Is there jaundice in acute cholecystitis

A

No

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12
Q

Murphy’s sign in acute cholecystitis

A

+ve

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13
Q

How to manage GB & associated empyema

A
  • surgery + Abx

- drain

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14
Q

Ascending cholangitis

A

BD inflammation

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15
Q

Pathophysiology of ascending cholangitis

A

BD blocked —> inflammation

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16
Q

Chariot’s triad of ascending cholangitis

A
  • RU quadrant pain
  • fever
  • jaundice
17
Q

Blood tests of ascending cholangitis

A
  • +LFT

- CRP

18
Q

What does USS show in ascending cholangitis

A

Dilated BD

19
Q

What does CT show in ascending cholangitis

A

Stones

20
Q

When to use MRCP

A

More details

21
Q

Pathophysiology of GS-pancreatitis

A

GS moves outta GB —> block pancreatic duct —> inflam

22
Q

Other than N/V/D what symptom is found in GS-pancreatitis

A

Loss of appetite

23
Q

High amount of this mineral is found in cholangiocarcinoma

A

Ca2+

24
Q

Triad of symptoms of cholangiocarcinoma

A
  • abdominal pain
  • weight loss
  • jaundice
25
Q

Courvoisier sign is in

A

Cholangiocarcinoma

26
Q

Why is ERCP used in cholangiocarcinoma

A

Visualise & biopsy

27
Q

Pathophysiology of GS ileus

A

Fistula between GB & bowel —> GS pass & obstruct bowel

28
Q

Other than pain and distension, what two systemic symptoms found in GS ileus

A
  • v

- d

29
Q

Why is XR used in GS ileus

A

Pneumobilia spotting

30
Q

Cholestasis

A

Blockage of bile flow

31
Q

Cholelithiasis

A

Presence of GS

32
Q

Cholidecholithiasis

A

GS in GB

33
Q

common clinical feature of many biliary diseases

A

Itching

34
Q

when should you think of primary sclerosing cholangitis

A

px w/ bowel disease showing evidence of cholestasis (hyperalbuminia, jaundice, raised alkaline phosphatase)

Y3 GI Conditions (23 decks)

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