15. Right Upper Quadrant Pain

Question 1

Answer 1

Question 2

Answer 2

Question 3

RUQ Pain - History Taking?

Answer 3

Question 4

= 6

Answer 4

Question 5

• 4 Bloods?

Answer 5

Question 6

• 3 Imaging?

Answer 6

Question 7

Answer 7

Question 8

What is the management of Mrs Cole’s cholecystitis?
- 4 Non-operative?
- Operative?

Answer 8

Question 9

Mrs Cole (the patient from the core case) was admitted onto a surgical ward. While awaiting her laparoscopic cholecystectomy, Mrs Cole’s RUQ adbominal pain becomes worse. She also becomes jaundiced, her temperature rises to 40C, and she starts to shake uncontrollably with rigors.
What are the complications of cholecystitis, and what has happened to Mrs Cole? How must she be managed?

Answer 9

Question 10

Answer 10

Question 11

Answer 11

Question 12

Explain the difference between biliary colic, cholecystitis, and ascending cholangitis.

Answer 12

Question 13

What is bile? How are bile salts conserved by the body?

Answer 13

Question 14

Answer 14

Question 15

Answer 15

Question 16

What are the potential consequences of gallstones?

Answer 16

Question 17

Answer 17

Question 18

What is Calot’s triangle?

Answer 18

Question 19

Where would a gallstone need to be in order to cause obstructive jaundice?

Answer 19

Question 20

What is Courvoisier’s law?

Answer 20

Question 21

Answer 21

Question 22

Answer 22

Question 23

Answer 23