Gallbladder

Question 1

Gallstones that are green

Answer 1

Cholesterol

Question 2

Fat, female, forties, fertile, and Native American

Answer 2

Cholesterol gallstones

Question 3

Colicky RUQ pain radiating to shoulder. Made worse with fatty foods

Answer 3

Cholelithiasis

Question 4

Gallstone gets stuck in cystic duct and inflammatory process in gallbladder starts

Answer 4

Cholecystitis

Question 5

Mild fever and Leukocytosis. Murphys sign +

Answer 5

Cholecystitis

Question 6

On Ultrasound see pericholecystic fluid, gallstones, and gallbladder wall thickening

Answer 6

Cholecystitis

Question 7

If can’t diagnose cholecystitis on ultrasound, go to

Answer 7

HIDA scan

Question 8

Treatment for _____ is NPO, IVFs, and IV antibiotics

Answer 8

Cholecystitis

Question 9

Painful jaundice

Answer 9

Gallstone obstruction of biliary tree (choledocholithiasis)

Question 10

Pruritus, jaundice, and increased LFTs

Answer 10

Hepatic obstruction

Question 11

Pain, N/V, Increased amylase and lipase

Answer 11

Pancreatic obstruction

Question 12

See dilated ducts on RUQ ultrasound

Answer 12

Choledocholithiasis

Question 13

If can’t diagnose choledocholithiasis on US go to

Answer 13

MRCP

Question 14

Treatment is ERCP and stone removal

Answer 14

Choledocholithiasis

Question 15

RUQ pain, Fever, jaundice

Answer 15

Charcots triad of ascending cholangitis

Question 16

RUQ pain, Fever, jaundice, hypotension, and AMS

Answer 16

Reynold’s Pentad of cholangitis

Question 17

Emergency ERCP

Answer 17

Cholangitis

Question 18

Antibiotic choices.

Answer 18

Cipro + Metronidazole.
Piptazo.
Amp-Gent + Metronidazole.