Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Gastrointestinal > Complications of Gallstones > Flashcards

Complications of Gallstones Flashcards

1
Q

What is acute cholecystitis?

A

Inflammation of the gallbladder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is acute cholangitis?

A

Inflammation of the bililary tree

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is ascending cholangitis?

A

Infection of the biliary tree

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the presenting features of acute cholecystitis?

A

Right upper quadrant/epigastric pain- radiating to right shoulder tip
Fever
Nausea and vomiting
Right upper quadrant tenderness
Murphy’s sign positive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What sign will be positive in someone with acute cholecystitis?

A

Murphy’s sign

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What can also occur if there is associated biliary obstruction?

A

Jaundice (pale stool and dark urine)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the name of the triad of symptoms that ascending cholangitis can present with?

A

Charcot’s triad

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is charcot’s triad?

A

Right upper quadrant pain
Fever
Jaundice

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What can ascending cholangitis also present with if sepsis/severe infection occur?

A

Hypotension and confusion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the common causes of ascending cholangitis?

A

Biliary calculi (stones) – 50%
Benign biliary stricture – 20%.
Malignancy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is Murphy’s sign?

A

Palpating the right subcostal area during inspiration- positive if the patient feels pain and stops breathing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What blood results would you find in someone with acute cholecystitis?

A

Deranged LFTs with a raised CRP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the initial imaging used?

A

Ultrasound scan

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the management of acute cholecystitis?

A

Cholecystectomy within 48 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What else can be used in the management of acute cholecystitis and cholangitis?

A

Resuscitation including intravenous fluids and antibiotics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the main management of cholangitis?

A

ERCP

17
Q

How can gallstone ileus occur?

A

Gallstone erodes through the gallbladder wall, resulting in a fistula between the gallbladder and small bowel

18
Q

What is gallstone ileus?

A

A large gallstone travels through this fistula and gets trapped in narrow areas of the bowel leading to small bowel obstruction.

19
Q

How can gallstone ileus be diagnosed?

A

Seen on x-ray imaging

20
Q

What might you find on an x-ray of someone with gallstone ileus?

A

Air in the biliary tree (pneumobilia) and dilated small bowel

21
Q

What is the management of gallstone ileus?

A

Laparotomy and removal of the gallstone from small bowel

22
Q

What is another complication of gallstones?

A

Cholangiocarcinoma

23
Q

What is cholangiocarcinoma?

A

Cancer of the bille ducts

Gastrointestinal (65 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions