Gallstone disease (S) Flashcards

1
Q

Gallstone Disease

A

gallstones blocking the ducts of gallbladder

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2
Q

RF

A
Female
Fat
Fertile
Forty
Crohns
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3
Q

types of gallstones

A

pigmented - common in haemolysis

cholesterol - obese

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4
Q

signs

A
biliary colic pain
pain worse after eating, especially fatty food
fever
jaundice
Murphy's point
complication symptoms
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5
Q

investigations

A

USS abdomen to locate stone
MRCP - no stones seen but abnormal LFTs
bloods

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6
Q

management

A

cholestectomy - dilated ducts or deranged LFTs

ERCP - gallstones in common bile duct

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7
Q

what conditions can present in gallstone disease

A

acute cholangitis
acute/chronic cholecystitis
gallstone ileus
pancreatitis

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8
Q

management of complications

A

IV antibiotics (gram-negative)

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9
Q

management of pancreatitis

A

IV fluids, analgesia

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