Gallstones

Question 1

Colicky abdominal pain
worse postprandially
worse after fatty foods

Answer 1

Biliary Colic

Question 2

Definitive management of biliary colic and acute cholecystitis

Answer 2

laparoscopic cholecystectomy

Question 3

RUQ pain
Fever
Murphys sign
Mildly deranged LFT’s

Answer 3

Acute Cholecystitis

Question 4

Prodromal illness
RUQ pain
Swinging pyrexia
Systemically unwell

Answer 4

Gallbladder abscess

Question 5

Definitive management options of gallbladder abscess

Answer 5

• subtotal cholecystectomy
• percutaneous drainage in unfit patients

Question 6

Sepsis
Fever
Jaundice
Right upper quadrant pain

Answer 6

Cholangitis

Question 7

Management of cholangitis

Answer 7

Fluid resuscitation
Broad-spectrum intravenous antibiotics
Correct any coagulopathy
Early ERCP

Question 8

History of previous cholecystitis known gallstones
Small bowel obstruction (may be intermittent)

Answer 8

Gallstone Ileus

Question 9

Gallbladder inflammation in the absence of stones, coupled with fever

Answer 9

Acalculous cholecystitis

Question 10

Most common risks of ERCP

Answer 10

Bleeding (higher if sphincterotomy)
Duodenal perforation
Cholangitis
Pancreatitis