S2 MTB - Cholecystitis

Question 1

2 main types of stones

Answer 1

• Cholesterol stones
• Pigment stones/ Bilirubin stones

Question 2

Factors for developing cholesterol stones

Answer 2

• Hepatic hyper secretion of cholesterol
• Genetic factors
• Gallbladder hyper motility

Question 3

Factors for developing pigment stones

Answer 3

• Genetic factors
• Hepatic hyper secretion of bilirubin
• Bile stasis
• Bacterial infection

Question 4

Patients that commonly have high levels of bile

Answer 4

Patients with hemolytic anemia

Question 5

Risk factors for gallstones

Answer 5

• Advanced age
• Females
• Patients with >27 kg/m
• Use of ceftriaxone
• Rapid weight loss (2 kg per week)
• Pregnancy
• Total parental nutrition

Question 6

Protective factors for gallstones

Answer 6

• Vitamin C/ Ascorbic acid
• Statins
• Moderate coffee intake

Question 7

Symptoms of gallstone disease

Answer 7

• Cholic like pain in RUC
• Nausea and vomit
• Pain that irradiates from the abdomen to the back and clavicular area

Question 8

Signs of gallstone

Answer 8

• Fever
• Astenia
• Murphy sign
• Jaundice/ icterisia

Question 9

First and best way to diagnose gallstone disease

Answer 9

Abdominal ultrasound and an MRCP after

Question 10

Treatment to soften the stones

Answer 10

Acido desoxiure…

Question 11

Standard procedure done to stop gallstones

Answer 11

The gallbladder gets taken out

Question 12

Main complication of gallstones

Answer 12

Cholecystitis, mail caused by a blockage in the ducts of the gallbladder

Question 13

Why is an antibiotic added to the treatment of cholecystitis?

Answer 13

To prevent the growth of bacterial colonies

Question 14

Acolia and colaría can be side effects due to the lack of bilirubin liberation

Answer 14

Yes

Question 15

Mirizzi Sx