[Surgery] Gallstones Flashcards
what are the risk factors for developing gallstones?
5Fs: Fat Forty Foetus Female Fair
what do pts with gallstones usually present with?
episodic RUQ pain
what is the 1st line ix for gallstones?
abdo USS
what do you do next if CBD stone is seen on abdo USS?
ERCP
what do you do next if CBD stone are not seen on abdo USS?
if deranged LFTs / dilated ducts → MRCP (to confirm anatomy/pathology)
what do pancreatitis, cholecystitis and choledocholithiasis all require?
urgent laparoscopic cholecystectomies
do biliary colics need urgent lap choles?
no, elective
what is the Charcot’s triad for cholangitis?
RUQ pain, fever, jaundice
what can you consider for a very unwell pt with gallbladder empyema?
cholcystostomy
painless, palpable gallbladder and jaundice. dx?
pancreatic cancer (Courvoissier’s law)
small bowel obstruction after cholecystitis. dx?
gallstone ileus
“beads on a string” on ERCP. dx?
primary sclerosing cholangitis
