Upper Abdominal Pain Flashcards

1
Q

How is cholangitis Mx?

A

Resusitation

Abx - tazocin or ampillicin+gentamicin+metronidazole

Early ERCP and sphincterotomy

Cholecystectomy later

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2
Q

What is the marker CEA for?

A

Tumour marker for

  • Colorectal carcinoma
  • Pancreatic carcinoma
  • Gastric carcinoma
  • Papillary thyroid carcinoma
  • Lung carcinoma
  • Breast carcinoma
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3
Q

What are some periampullary malignancies?

A

Head of pancreas

Cholangiocarcinoma

Ca ampulla

Ca of duodenum

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4
Q

How might a coagulopathy be caused by biliary obstruction?

A

Vitamin D is fat soluble therefore requires bile from absorption

Vitamin D deficiency causes coagulopathy

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