Gallbladder Flashcards

1
Q

What are the ducts of the gallbladder

A
Left Hepatic duct
Right hepatic duct 
Common hepatic duct 
Common bile duct 
Cystic duct 
Pancreatic duct
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2
Q

What is biliary colic

A

it is a type of pain that occurs due to the impact of gallstones in Cystic duct

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3
Q

What are the manifestations of biliary colic

A

Constant pain in RUQ
Night pains after fatty meals
Radiation up the shoulder or the scapula

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4
Q

What is acute cholecystitis

A

inflammation of the gallbladder due to impaction in cystic duct

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5
Q

What are the manifestation of cholecystitis

A

Fever

Right tenderness

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6
Q

What is the Physical exam of cholecystitis and the lab exam

A

Murphy positive sign

Leukocytosis

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7
Q

What is acalclous cholecystitis

A

acute or chronic cholecystitis in the absence of stones. NO STONES!

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8
Q

What are the risk factors for acalclous cholecystitis

A

ICU admission
Trauma patient
DM
Sepsis

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9
Q

What is the gallbladder

A

it is a small organ where bile is stored and concentrated before it is released into the small intestine.

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10
Q

What is bile

A

is an aids in digestion of lipids bile salts, bilirubin and fats

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11
Q

What is cholelithiasis

A

Its a solid, round stones in gallbladder due to the precipitation of cholesterol or bilirubin in blie

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12
Q

What are the common types of gallstones

A

cholesterol and yellow in color

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13
Q

What are the risk factors for cholelithiasis

A

Female
Fertility
Forties
Fat

Risk Factors: 
Age 
estrogen 
Clofibrate 
Native Americans 
Crohn 
cirrhosis
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14
Q

What is choledocholithiasis

A

it is stones in common bile duct

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15
Q

What is acute cholangitits

A

is common infection of the bile duct that is usually due to bacteria

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16
Q

What does acute cholangitits lead to

A

biliary stasis
Bacteria overgrowth
sepsis

17
Q

What are the manifestations of acute cholangitits

A
fever
RUQ pain 
Jaundice 
shock 
confusion
18
Q

What is the Charot triad

A

Fever
RUQ pain
Jaundice

19
Q

What is Reynold’s Triad

A
Fever 
RUO pain 
Jaundice 
Shock 
Confusion
20
Q

What is Gallstone ileus

A

rare form of small bowel obstruction caused by impaction of gallstone in small intestine

21
Q

What are the causes of gallstone ileus

A

repeated inflammation

22
Q

Where is the stones in the gallstone ileus

A

ileocecal valve

23
Q

What is gallbladder carcinoma

A

cancer of intra/extra hepatic bile ducts

24
Q

What are the causes of gallbladder carcinoma

A

Clonorchis sinensis infection

25
Q

What are the manifestations of gallbladder carcinoma

A

enlarged, palpable gallbladder with the head of the pancreas carcinoma