Extras: Gallbladder Flashcards
Acute chole vs acute pancreatitis
- Chole: N/V, RUQ pain, tea-colored urine, clay-colored stools, after a large fatty meal, radiation to the shoulder
- Panc: N/V, epigastric pain, fever, radiation to the back
Six F’s and what condition they are risk factors for
Cholelithiasis: FHx, female, fair skin, fat, forty+, fertile (preg)
Charcot triad and Reynolds pentad + what theyre for
Ascending cholangitis:
Charcot triad: RUQ pain, fever, jaundice
Reynold’s pentad: Charcot + hypotension + AMS
Symptoms of PSC
Mostly Asx -> RUQ pain, jaundice, fatigue
Treatment for PSC vs PBC
PSC: bile salt chelators, steroids
PBC: ursodeoxycholic acid
Main increased lab value in both PSC and PBC
ALP
Which one has xanthomas, PBC or PSC?
PBC
Ab in PBC
AMA Abs
Treatment for pruritis, esp in PBC
Cholestyramine
What is the way to Dx biliary dyskinesia
HIDA scan -> decreased ejection fraction
Perinatal vs fetal biliary atresia
Perinatal: infection/toxin in uterus
Fetal: congenital malformation
Condition associated with pancreas divisum
Chronic pancreatitis
Six major causes of acute pancreatitis
- Gallstones
- Heavy EtOH
- Hyper triglycerides
- Trauma/surgery
- Medications
- ERCP
Dx criteria of acute pancreatitis: 2/3…
- Epigastric pain
- Lipase 3x ULN
- CT changes consistent with pancreatitis
What condition are sentinel loop and colon cut-off sign associated with?
Acute pancreatitis
Med for low Ca in acute pancreatitis
Calcium gluconate
SAPE stand for?
Sentinel acute pancreatitis event
Causes of chronic pancreatitis with mnemonic
TIGAR-O: toxic (alc), idiopathic, genetic, autoimmune, recurrent, obstructive
Two types of autoimmune pancreatitis: what theyre associated with
Type I: IgG4
Type II: UC
Treatment for autoimmune pancreatitis
Corticosteroids
Major mutation in PDA; pancreatic ductal adenocarcinoma
KRAS
How to Dx SBP
Paracentesis -> peritoneal fluid has >250 PMNs/uL
Idiopathic retroperitoneal fibrosis
Inflammation around aorta and ureters from IgG4, radiation, or tumors
