Bilary colic and gallstone related disease Flashcards
1
Q
What causes biliary colic?
A
Gallstones passing through biliary tree
2
Q
What are the risk factors for biliary colic?
A
4Fs
others:
DM
Crohns
Rapid weight loss
Drugs - vibrates and COCP
3
Q
What is the pathophysiology
A
occur due to ↑ cholesterol, ↓ bile salts and biliary stasis
the pain occurs due to the gallbladder contracting against a stone lodged in the cystic duct
4
Q
What are the features of biliary colic?
A
RUQ colic
Radiation to inter scapular region
N+V
No fever and LFTs and inflammatory markers are normal
5
Q
What are the investigations?
A
US
6
Q
Management of biliary colic
A
elective laparoscopic cholecystectomy
7
Q
complications of biliary colic
A
acute cholecystitis: the most common complication
ascending cholangitis
acute pancreatitis
gallstone ileus
gallbladder cancer
