Complications of gallstones Flashcards
Explain the sudden pain of biliary colic
Sudden GS block cystic duct
Location of pain in biliary colic
Intermittent RU pain
When is pain in biliary colic worse
After meals
Is there fever/jaundice in biliary colic
No
Murphy’s sign in biliary colic
-ve
Surgery for biliary colic
Elective cholecystectomy
Acute cholecystitis
GB inflammation
Pathology of acute cholecystitis
BD blocked —> bile build up —> inflam
Radiation of acute cholecystitis pain from RU quadrant
Right shoulder tip
Is there fever in acute cholecystitis
Yes
Is there jaundice in acute cholecystitis
No
Murphy’s sign in acute cholecystitis
+ve
How to manage GB & associated empyema
- surgery + Abx
- drain
Ascending cholangitis
BD inflammation
Pathophysiology of ascending cholangitis
BD blocked —> inflammation
Chariot’s triad of ascending cholangitis
- RU quadrant pain
- fever
- jaundice
Blood tests of ascending cholangitis
- +LFT
- CRP
What does USS show in ascending cholangitis
Dilated BD
What does CT show in ascending cholangitis
Stones
When to use MRCP
More details
Pathophysiology of GS-pancreatitis
GS moves outta GB —> block pancreatic duct —> inflam
Other than N/V/D what symptom is found in GS-pancreatitis
Loss of appetite
High amount of this mineral is found in cholangiocarcinoma
Ca2+
Triad of symptoms of cholangiocarcinoma
- abdominal pain
- weight loss
- jaundice
Courvoisier sign is in
Cholangiocarcinoma
Why is ERCP used in cholangiocarcinoma
Visualise & biopsy
Pathophysiology of GS ileus
Fistula between GB & bowel —> GS pass & obstruct bowel
Other than pain and distension, what two systemic symptoms found in GS ileus
- v
- d
Why is XR used in GS ileus
Pneumobilia spotting
Cholestasis
Blockage of bile flow
Cholelithiasis
Presence of GS
Cholidecholithiasis
GS in GB
common clinical feature of many biliary diseases
Itching
when should you think of primary sclerosing cholangitis
px w/ bowel disease showing evidence of cholestasis (hyperalbuminia, jaundice, raised alkaline phosphatase)
