Gi - Class Notes/3 Flashcards
cholangitis
bacterial infection superimposed on an obstruction of the biliary tree
cholecystitis
inflammation of the gallbladder from obstruction of cystic ducts
bacterial infection superimposed on an obstruction of the biliary tree
cholangitis
pigmented stone types
2
black
brown
can cause ascites (besides disease)
portal HTN (backflow)
gallstone of hemolytic disease
black
cholelithiasis (gallstone formation) risk factors are associated with that disease
3
- gallbladder
- pancreas
- ileal disease
gallstone obstructing the biliary tract i.e. common bile duct
choleodocholithiases
ascites is signs of what diseases
3
heart
liver
kidney
cirrhosis is irreversible from
inflammation of the liver that becomes fibrotic/scarred
severe epigastric or abdominal pain that radiates to the back
pancreatitis
pancreatitis primary sx
severe epigastric or abdominal pain that radiates to the back
colorectal cancer screening - what test tells you if the bleeding is in the large intestine
FIT stool test
increase what increases gallstone formation
increased cholesterol
inflammation of the gallbladder from obstruction of cystic ducts
cholecystitis
common cause of pancreatitis
2
- alcohol
2. gallstones
pancreatitis tx
1
- NPO - nothing oral
cholelithiasis
gall stones
colorectal cancer FIT stool tests looks for
Ab against cancer
intolerance to fatty foods is a sx of
gallstones
choleodocholithiases
gallstone obstructing the biliary tract i.e. common bile duct
gallstones that are brown
rare; infected bile
colorectal cancer - some genes cause
2
- polyposis
2. non polyposis (rare)
cirrhosis blood sx
easy bruising and bleeding from poor coagulation from low clotting factors
colorectal cancer - if you have cancer what do you measure
measure CEA levels and follow it to ensure its lowering after surgery
most common type of gallstone
cholesterol
albumin is produced by
liver
easy bruising and bleeding from poor coagulation from low clotting factors
cirrhosis
cirrhosis #1 cause is
alcohol
hepatic encephalopathy - what is the most harmful for this
increased ammonia
gallstones aka
cholelithiasis
cirrhosis tx for alcholics
2
- tx sx
2. parcentesis
brown stones
2
- rare
2. infected bile
cholithiasis
gallstone formation
gallstone formation aka
cholelithiasis
definitive dx test for pancreatitis
2
amylase and lipase levels
ascites
accumulation of fluid in peritoneal cavity
two types of gallstones
cholesterol
pigmented
amylase and lipase levels test is to
pancreatitis
cirrhosis is end stage of
alcohol abuse
best tx option for gallstones
colocystectomy
ascites is often a sx of
end stage liver disease
gallstone sx
1
intolerance to fatty foods
how many gallstone types are there
two
infected bile stones
brown
what level will amylase and lipase be for pancreatitis
3x elevated
oncotic pressure is ran by
protein albumin in the plasma
what two increased things favor gallstone formation
- increased bile salt
2. increased cholesterol
cirrhosis tx for non-alcoholics
transplant
gallstone tx
4
- medication
- high frequency ultrasound
- endoscopic retrograde CP (ERCP)
- colocystectomy
major concern of pancreatitis
septicemia
how does ascites arise
low albumin production from liver disease increases the movement of water out of the vessels and into the abdominal space
accumulation of fluid in peritoneal cavity
ascites
cirrhosis - liver appearance
shrinks and cobble-stoned
cholesterol stone
bile is super saturated with cholesterol
black stones are from
hemolytic disease
cholelithiasis (gallstone formation) risks
6
- obese
- middle age
- Fm
- oral contraceptives
- rapid weight loss
- Native american
liver is smaller and cobble-stoned
cirrhosis
3 cancer in both males and females
colorectal