Gallstone Disease Flashcards
1
Q
Composition of gallstones
A
Cholesterol and pigment
2
Q
RFs for gallstones
A
Age Gender Parity -number of times been pregnant OCP
3
Q
S+S of gallstones
A
Dyspepsia Biliary colic Acute cholecystitus (gallbladder inflammation) Empyema Perforation Jaundice Gallstone ileus
4
Q
S+S of choledocho-ilithiasis
A
Post cholectomy pain Obstructive jaundice Acute pancreatitis Ascending cholangitis -charcot’s triad - -jaundice - -fever - -upper right quadrant pain
5
Q
Ix for choledocho-ilthiasis
A
Bloods -LFTs -amylase and lipase -WCC EUS USS Oral cholecystography Radioisotope scan IV cholangiography
6
Q
Tx for choledocho-ilithiasis
A
Non-operative -dissolution -lithotripsy Operative -cholecystectomy - -open - -mini - -laparoscopic=GOLD STANDARD - -NOTES - -subtotal
7
Q
Types of benign biliary tract disease
A
Congenital -biliary atresia -choledochal cysts Benign biliary stricture -iatrogenic -gallstone related -inflammatory - -pyogenic, parasitic, PSC, pancreatitis, HIV
8
Q
Cholangiocarcinoma RFs
A
PSC Congenital cystic disease Biliary-enteric drainage Thorotrast (contrast) Hepatoilithiasis Carcinogens
9
Q
S+S for cholangiocarcinoma
A
Obstructive jaundice
Itching
Non-specific symptoms
10
Q
Ix for cholangiocarcinoma
A
Lab
Radiology
11
Q
Tx for cholangiocarcinoma
A
Surgery=only potential cure Palliative -surgical bypass -stenting -palliative radiotherapy -chemo Liver transport
12
Q
Tx for ampullary tumor
A
Endoscopic excision
Trans-duodenal excision
Pancreatico-duodectomy
