HPB Flashcards
1
Q
Epidemiology of gallstones
A
Common Female Fat Forty Fair Fertile
2
Q
Aetiology of gallstones
A
Too much cholesterol causing micelles to be unstable
Biliary stasis
3
Q
What is biliary colic?
A
Pain caused by impaction of a gallstone
In the RUQ and epigastrium, may radiate to the back.
4
Q
How are gallstones investigated?
A
Ultrasound
Shows GB wall thickening
Can show duct dilation
Good at detecting stones within GB but less good for stones in the Bile duct
5
Q
What is acute cholecystitis?
A
Pain similar to in biliary colic
Systemic symptoms such as fever
Raised WCC
6
Q
Name 5 complications of gallstones
A
Biliary colic Cholecystitis Empyema Mucocoele Cholangitis Pancreatitis Gallstones ileus
7
Q
What tumours can occur in the gallbladder?
A
Adenoma
Adenocarcinoma (90%)
Squamous (believed to be associated with meta plastic changes)
