Gallbladder

Question 1

most common cause of jaundice in young adults? Elderly?

Answer 1

viral hepatitis; malignancy

Question 2

gender more likely to get gallstones

Answer 2

women (30%)

Question 3

can see these gallstones on x-rays

Answer 3

black and brown (calcium bilirubinate)

Question 4

these gallstones can get big and form in the ducts

Answer 4

brown

Question 5

does gallstone dz usually present with jaundice?

Answer 5

NO

Question 6

cholecystitis presents with?

Answer 6

RUQ pain (biliary colic), fever, murphy’s sign

Question 7

cholecystitis labs show?

Answer 7

normal LFTs, increased WBCs

Question 8

best test for dx of cholecystitis

Answer 8

ultrasound

Question 9

rx of cholecystitis

Answer 9

surgery to remove + ABX

Question 10

clinical presentation of choledocholithiasis

Answer 10

biliary colic, jaundice, clay-colored stool, dark urine, diarrhea

Question 11

Charcot’s triad of sx for cholangitis

Answer 11

fever, RUQ pain, jaundice

Question 12

things that mimic gallstone obstruction

Answer 12

PSC, tumors, worms and parasites, strictures

Question 13

LFT presentation of choledocholithiasis

Answer 13

AP, GGT, bilirubin

Question 14

tx of choledocholithiasis +/- cholangitis

Answer 14

ERCP +/- ABX