Gallstones Flashcards
1
Q
Gallstones is
A
Small stones in GB
2
Q
RFs for pigment gallstones (10%)
A
- haemolysis
- stasis
- infection
3
Q
RFs for cholesterol gallstones
A
- female sex
4
Q
Location of pain in GS
A
- biliary colic
- right upper quadrant
5
Q
How long does biliary colic pain last
A
30m-1h
6
Q
Where does GS pain radiate to
A
Centre & shoulder blade
7
Q
What substance in fatty food causes GB contraction that leads to worse pain after fatty meals
A
CCK secretin
8
Q
5Fs RFs of GS
A
- female
- fat
- fort (age)
- fertile
- FH
9
Q
1st line investigation of GS (and what does it show)
A
USS
- thickened GB wall
- dilated bile ducts
10
Q
LFT results in GS
A
- +ALP
- + bilirubin
11
Q
+ve Murphy’s sign
A
- pain upon palpating
- hand over upper-right area + patient breathes in
12
Q
gold standard investigation for GS
A
MRCP
13
Q
Management of asymptomatic GS
A
Monitor
14
Q
Mx of GS with mild symptoms (pain/bloating)
A
Lifestyle changes
15
Q
How to remove severe GS
A
Laparoscopic cholecystectomy (&ERCP)
