Jaundice - McGowan Flashcards
PSC associated with inc. risk of what?
Associated with what type of cancer?
What genetic association?
Cholangiocarcinoma
Colon cancer from UC
HLA-B8, DR3/4
Potential complication of ERCP is what?
Iatrogenic pancreatitis
What bilirubin level is clinical jaundice seen at?
Greater than or equal to 3
Choledocholithiasis is what?
Diameter greater than what?
Common bile duct stone
6mm
Porcelain GB puts pts at increased risk for what?
Prognosis?
GB carcinoma
Poor
Reduced excretory function of hepatocytes is what?
Dubin-Johnson syndrome
What causes porcelain GB?
Diagnosed how?
Chronic cholecystitis
Incidental Abdominal radiography (calcified lesion)
ERCP/MRCP of PSC shows what sign?
Liver biopsy shows what?
Beads on a string
Periductal fibrosis (Onion skinning)
Reduced hepatic reuptake of bilirubin conjugates is what?
Rotor syndrome
Strawberry gall bladder with lipid laden macrophages which is normally asymptomatic, what diagnosis?
Cholesterolosis
Who is at a huge risk for emphysematous gallbladder?
What kind of bacterial infection is it?
Uncontrolled diabetics
Clostridium perfingens
What are the US findings in acute cholecystitis?
GB wall thickening
Pericholecystic fluid
Sonographic murphy sign
What is Boas sign?
Referral of pain from RUQ to R upper shoulder in gall bladder disease
(+) Courvouseir’s sign could indicate what?
Gallbladder cancer / pancreatic cancer
Painless jaundice in an older person (> 50) makes you think what?
Pancreatic cancer
