Gallstone disease (S) Flashcards
1
Q
Gallstone Disease
A
gallstones blocking the ducts of gallbladder
2
Q
RF
A
Female Fat Fertile Forty Crohns
3
Q
types of gallstones
A
pigmented - common in haemolysis
cholesterol - obese
4
Q
signs
A
biliary colic pain pain worse after eating, especially fatty food fever jaundice Murphy's point complication symptoms
5
Q
investigations
A
USS abdomen to locate stone
MRCP - no stones seen but abnormal LFTs
bloods
6
Q
management
A
cholestectomy - dilated ducts or deranged LFTs
ERCP - gallstones in common bile duct
7
Q
what conditions can present in gallstone disease
A
acute cholangitis
acute/chronic cholecystitis
gallstone ileus
pancreatitis
8
Q
management of complications
A
IV antibiotics (gram-negative)
9
Q
management of pancreatitis
A
IV fluids, analgesia
