Pathoma 11.2 Gallbladder and Biliary Tract

Question 1

Dx: Failure to form or early destruction of extrahepatic biliary tree; Leads to biliary obstruction within first 3 months of life; Presents with jaundice and progresses to cirrhosis

Answer 1

Biliary atresia

Question 2

What kind of gallstones show up on xray?

Answer 2

Bilirubin stones - radiopaque

Question 3

Dx: Waxing and waning RUQ pain; Due to gallbladder contracting against stone lodged in cystic duct

Answer 3

Biliary colic Complication of gallstones

Question 4

Where does the pain from acute cholecystitis radiate to?

Answer 4

R scapula

Question 5

Dx: Longstanding cholelithiasis; Rokitansky-Aschoff sinuses; Vague RUQ pain (esp after eating)

Answer 5

Chronic cholecystitis

Question 6

What is a complication of chronic cholecystitis?

Answer 6

Porcelain gallbladder - calcifications - can see on xray

Question 7

Porcelain gallbladder is a risk factor for the formation of:

Answer 7

gall bladder cancer (adenocarcinoma) Poor prognosis

Question 8

Dx: Bacterial infection of bile ducts; Usually due to ascending infection with enteric gram-neg bacteria; Presents as sepsis, jaundice, abdominal pain; Increased incidence w/ choledocholithiasis

Answer 8

Ascending cholangitis

Question 9

Dx: Fistula formation between gall bladder and small bowel; Gallstone enters and obstructs the small bowel

Answer 9

Gallstone ileus