GI24

Question 1

What is the cause of Gallstones (choletlithiasis)?

Answer 1

• Increased cholesterol
• Increased bilirubin
• Decreased bile salts
• Gallbladder stasis

Question 2

What are the two types of Gallstones?

Answer 2

• Cholesterol (80%)

- Pigment

Question 3

Radiolucent or Radiopaque.

Answer 3

Radiolucent - Cholesterol

Radiopaque - Pigment

Question 4

What is Charcot’s triad of cholangitis?

Answer 4

• Jaundice
• Fever
• RUQ pain

also:
- Leukocytosis w/ neutrophilia
- Increased band cell

Question 5

What is a Positive Murphey’s sign?

Answer 5

Inspiratory arrest on deep RUQ palpation due to pain

Question 6

What is Cholecystitis?

Answer 6

• Inflammation of gallbladder
• Usually from gallstones (rarely ischemia or infectious)
• INcreased alkaline phosphatase if bile duct becomes involved (e.g., ascending cholangitis)