General Surgery - Gallbladder Flashcards
what is cholecystitis?
inflammation of the gall bladder
what is bile made up of?
pigment
cholesterol
phospholipids
features of cholecystitis?
RUQ pain R shoulder pain vomiting fever peritonism murphy's sign
what features arise when obstruction occurs? where is obstructed?
jaundice
cystic duct
Ix for cholecystitis?
FBC (WCC raised) LFTs US MRCP ERCP
Tx for cholecystitis?
cholecystectomy
within 1wk of cholecystitis
if someone has asymptomatic stones, what surgery should be offered?
NONE unless causing symptoms
where are the stones when causing biliary colic?
impacted in cystic duct or CBD
what are those with biliary colic at risk of?
pancreatitis
ascending cholangitis
what happens in cholangitis?
stone moves to CBD
inflammation of biliary tree
what is a gallstone ileus?
fistula made with bowel
gallstone ileus blocks ileocecal valve
complications of cholecystitis?
biliary colic cholangitis chronic cholecystitis gallstone ileus empyema mucocele jaundice
risk factors for gallstones?
fat female forty fertile family history malabsorption
