Gallbladder Flashcards
What are the ducts of the gallbladder
Left Hepatic duct Right hepatic duct Common hepatic duct Common bile duct Cystic duct Pancreatic duct
What is biliary colic
it is a type of pain that occurs due to the impact of gallstones in Cystic duct
What are the manifestations of biliary colic
Constant pain in RUQ
Night pains after fatty meals
Radiation up the shoulder or the scapula
What is acute cholecystitis
inflammation of the gallbladder due to impaction in cystic duct
What are the manifestation of cholecystitis
Fever
Right tenderness
What is the Physical exam of cholecystitis and the lab exam
Murphy positive sign
Leukocytosis
What is acalclous cholecystitis
acute or chronic cholecystitis in the absence of stones. NO STONES!
What are the risk factors for acalclous cholecystitis
ICU admission
Trauma patient
DM
Sepsis
What is the gallbladder
it is a small organ where bile is stored and concentrated before it is released into the small intestine.
What is bile
is an aids in digestion of lipids bile salts, bilirubin and fats
What is cholelithiasis
Its a solid, round stones in gallbladder due to the precipitation of cholesterol or bilirubin in blie
What are the common types of gallstones
cholesterol and yellow in color
What are the risk factors for cholelithiasis
Female
Fertility
Forties
Fat
Risk Factors: Age estrogen Clofibrate Native Americans Crohn cirrhosis
What is choledocholithiasis
it is stones in common bile duct
What is acute cholangitits
is common infection of the bile duct that is usually due to bacteria
What does acute cholangitits lead to
biliary stasis
Bacteria overgrowth
sepsis
What are the manifestations of acute cholangitits
fever RUQ pain Jaundice shock confusion
What is the Charot triad
Fever
RUQ pain
Jaundice
What is Reynold’s Triad
Fever RUO pain Jaundice Shock Confusion
What is Gallstone ileus
rare form of small bowel obstruction caused by impaction of gallstone in small intestine
What are the causes of gallstone ileus
repeated inflammation
Where is the stones in the gallstone ileus
ileocecal valve
What is gallbladder carcinoma
cancer of intra/extra hepatic bile ducts
What are the causes of gallbladder carcinoma
Clonorchis sinensis infection
What are the manifestations of gallbladder carcinoma
enlarged, palpable gallbladder with the head of the pancreas carcinoma
