Upper Abdominal Pain Flashcards
1
Q
How is cholangitis Mx?
A
Resusitation
Abx - tazocin or ampillicin+gentamicin+metronidazole
Early ERCP and sphincterotomy
Cholecystectomy later
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
3
Q
What are some periampullary malignancies?
A
Head of pancreas
Cholangiocarcinoma
Ca ampulla
Ca of duodenum
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