GI Problem 2

Question 1

Fever and rigor

Answer 1

…………

Question 2

Causes of Cholestasis and the significance of pain

Answer 2

…………

Question 3

Cholelithiasis

Answer 3

• often presents w/ biliary colic (pain that comes & goes, in RUQ)
• cholesterol stones (mainly in gallbladder due to stasis & conc.), pigment stones • can cause cholangitis, cholecystitis, pancreatitis
• treatment = ERCP, cholecystectomy

Question 4

Cholangitis diagnosis

Answer 4

……..

Question 5

Imaging cholelithiasis

Answer 5

• ultrasound = dilation of common bile duct, stone (white)

• MRCP (magnetic resonance cholangiopancreatography) = dilation of biliary tree, stone (black)
• non-invasive (however non-therapeutic)
• gives great definition of biliary tree
• ERCP (endoscopic retrograde cholangiopancreatography)
• diagnostic & therapeutic
• removal of stones through ampulla in duodenum using endoscope (sphincterotomy) • sometimes temporary stent inserted to help bile flow

Question 6

Absence of ultrasound cholestasis signs lead to?

Answer 6

…….

Question 7

PBC vs PSC

Answer 7

……

Question 8

Tumours causing obstructive jaundice

Answer 8

………….