Lesson 21. P2

Question 1

Acute cholecystitis comprises __% of the patients who present to emergcy department

Answer 1

5% so its very common

Question 2

signs and symptoms ofAcute cholecystitis (4)

Answer 2

RUQ pain
epigastric pain
RUQ tenderness
Nausea/vomiting

Question 3

Acute cholecystitis is cause by ____ in 90% of cases

Answer 3

stones

Question 4

Acute cholecystitis women are affected more or less

Answer 4

3x more

Question 5

age group of Acute cholecystitis

Answer 5

<50 years

Question 6

what is positive Murphy sign

Answer 6

pain when moderate pressure over GB

Question 7

Sonographic signs of Acute cholecystitis (8 )

Answer 7

gallstones, thickening of GB wall, oedematous wall, impacted stone, pericholecystic fluid collections, positive Murphy sign, intrahepatic duct dilation, Hyperemic wall

Question 8

what is gangrenous cholecystitis

Answer 8

necrosis due to severe or prolonged acute cholecystitis

Question 9

sonographic findings of gangrenous cholecystitis (4)

Answer 9

non-layering bands of echogenic tissue within the lumen-sloughed membranes and blood***
irregular wall –> wall is sloughing
small collections in wall

Question 10

will gangrenous cholecystitis have a positive Murphy sign, why?

Answer 10

no because the nerves have died

Question 11

GB perforation occurs in ____% of patients with Acute cholecystitis

Answer 11

5-10%

Question 12

GB perforation is due to

Answer 12

prolonged inflammation from Acute cholecystitis

Question 13

what is seen with GB perforation (3)

Answer 13

focal defect in wall and deflation of GB*****
loss of normal shape.
pericholecystic fluid collection

Question 14

BG perforation can extend into liver parenchyma causing

Answer 14

abscess