Gallbladder and Biliary Tract Flashcards

1
Q

Ascending cholangitis due to

A

bacterial infection of bile ducts

enteric Gram - bacteria move up tree

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2
Q

Gallbladder carcinoma

A

usually porcelain gallbladder in old lady

presents as cholecystitis

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3
Q

Gallstone ileus

A

fistula between gallbladder and duodenum

large stones then obstruct the duodenum

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4
Q

Biliary atresia presents

A

in first few months

w/ elevated conjugated bili

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5
Q

Gallstone types

A

cholesterol or pigment (bilirubin)

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6
Q

Biliary colic

A

waxing and waning RUQ pain

due to gallbladder contraction against stone

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7
Q

Acute cholecystitis

etiology

A

acute inflammation of galbladder wall

dilation –> pressure ischemia

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8
Q

Acute cholecystitis

Sx

A

RUQ pain radiating to right scapula

elevated alkaline phosphatase

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9
Q

Chronic cholecystitis

pathology findings

A

Rokitansky-Aschoff sinuses

invasion of mucosa into sm muscle layer

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