gallstones Flashcards
1
Q
What is contained within bile?
A
Bile salts, bile pigments, cholesterol, phospholipid, electrolytes,
water.
2
Q
Name two types of gallstones based on composition.
A
Pigment stones, cholesterol stones, mixed stones.
3
Q
What are risk factors for developing gallstones?
A
Fair (Caucasian), forty, fertile, fat, female.
4
Q
What is Murphy’s sign?
A
Two fingers are laid in the right upper quadrant and the patient
is asked to breathe in; this has to cause pain and stop the patient
breathing in fully. (1) It is positive if the test is repeated in the left
upper quadrant and does not cause pain.
5
Q
What imaging would confirm the diagnosis of acute cholecystitis?
A
Biliary ultrasound.
6
Q
What initial management would you start?
A
Nil by mouth, intravenous fluids, analgesia, antibiotics.
