Extras: Gallbladder Flashcards

1
Q

Acute chole vs acute pancreatitis

A
  1. Chole: N/V, RUQ pain, tea-colored urine, clay-colored stools, after a large fatty meal, radiation to the shoulder
  2. Panc: N/V, epigastric pain, fever, radiation to the back
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2
Q

Six F’s and what condition they are risk factors for

A

Cholelithiasis: FHx, female, fair skin, fat, forty+, fertile (preg)

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3
Q

Charcot triad and Reynolds pentad + what theyre for

A

Ascending cholangitis:
Charcot triad: RUQ pain, fever, jaundice
Reynold’s pentad: Charcot + hypotension + AMS

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4
Q

Symptoms of PSC

A

Mostly Asx -> RUQ pain, jaundice, fatigue

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5
Q

Treatment for PSC vs PBC

A

PSC: bile salt chelators, steroids
PBC: ursodeoxycholic acid

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6
Q

Main increased lab value in both PSC and PBC

A

ALP

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7
Q

Which one has xanthomas, PBC or PSC?

A

PBC

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8
Q

Ab in PBC

A

AMA Abs

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9
Q

Treatment for pruritis, esp in PBC

A

Cholestyramine

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10
Q

What is the way to Dx biliary dyskinesia

A

HIDA scan -> decreased ejection fraction

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11
Q

Perinatal vs fetal biliary atresia

A

Perinatal: infection/toxin in uterus
Fetal: congenital malformation

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12
Q

Condition associated with pancreas divisum

A

Chronic pancreatitis

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13
Q

Six major causes of acute pancreatitis

A
  1. Gallstones
  2. Heavy EtOH
  3. Hyper triglycerides
  4. Trauma/surgery
  5. Medications
  6. ERCP
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14
Q

Dx criteria of acute pancreatitis: 2/3…

A
  1. Epigastric pain
  2. Lipase 3x ULN
  3. CT changes consistent with pancreatitis
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15
Q

What condition are sentinel loop and colon cut-off sign associated with?

A

Acute pancreatitis

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16
Q

Med for low Ca in acute pancreatitis

A

Calcium gluconate

17
Q

SAPE stand for?

A

Sentinel acute pancreatitis event

18
Q

Causes of chronic pancreatitis with mnemonic

A

TIGAR-O: toxic (alc), idiopathic, genetic, autoimmune, recurrent, obstructive

19
Q

Two types of autoimmune pancreatitis: what theyre associated with

A

Type I: IgG4

Type II: UC

20
Q

Treatment for autoimmune pancreatitis

A

Corticosteroids

21
Q

Major mutation in PDA; pancreatic ductal adenocarcinoma

A

KRAS

22
Q

How to Dx SBP

A

Paracentesis -> peritoneal fluid has >250 PMNs/uL

23
Q

Idiopathic retroperitoneal fibrosis

A

Inflammation around aorta and ureters from IgG4, radiation, or tumors