Gall Stones And Cholecystitis

Question 1

Fun of bile salts

Answer 1

0 digestion of fat and fat-soluble vitamin
② +++ peristalsis
⑤ anti-bacterial

Question 2

Metabolic cause of gall stones

Answer 2

① obesity ② high-calorie diet ③ medication

Question 3

Normal ratio of bile acids: cholesterol

Answer 3

25:1
13:1 → critical → stone

Question 4

Most common cause of gall stones →

Answer 4

Infection

Question 5

Infection cause……. Stone

Answer 5

Mixed,
Organisms form a focus ← cholesterol and bile salts get precipitated

Question 6

Cause of bile stasis

Answer 6

• Pregnancy
• prolonged total parental n
• vagotomy
• DM

Question 7

Causes of ↓ bile acid

Answer 7

A cirrhosis
Malabsorption
Ileal resection
Obesity
Hyper. cholesterolemia

Question 8

Hemolytic anemia cause…….. Stone

Answer 8

Calcium billirubinate ( pigment)

Question 9

Saint’s triad

Answer 9

Gall stones
Diverticulosis of colon
Hiatus hernia

Question 10

Radiology of cholesterol store

Answer 10

Radio lucent

Question 11

Types of acute cholecytitis

Answer 11

» Calculus
» A calculus
» acute emphysmatous cholecytits

Question 12

Symptoms of acute cholecystasis

Answer 12

Pain: colicky, with nausea vomiting, more prolonged
Low grade fever except clostridia → high

Question 13

Signs of acute cholesystasis

Answer 13

① Murphy
② boas’
③ vague mass
④ upper abdominal guarding, rigidity

Question 14

Ddx of acute cholicystasis

Answer 14

① perforated p.u
② pancreatitis ③
③ lobar pneumonia
④ high retrocecal appendicitis
⑤ amoebic liver abscess