Bilary Surgery Flashcards

(34 cards)

1
Q

fucnion of gall balddr

A

bile resoviisd, concentrate bile
secre bile after meals

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2
Q

what is cholesterosis

A

growth of cholesterol in and around the gall bladder

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3
Q

afte rwhat size polps should we be award of in gall balder

A

greater than 0.5 mm

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4
Q

proceducre to remove gall stones name

A

cholecytectomies

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5
Q

inflamation of gall bladder name

A

cholecystitis

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6
Q

what are gall stones normally made of

A

mixed, cholesterol, pigment

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7
Q

risk factors for gall stoens

A

age, gender, parity, ocp
cholesterol - obesity, ileal disaeh, cirrhosi, cf, heart translpalnt, delayed gb empitng
pigment - hameolgic aneiam, bile infection

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8
Q

who is more effected by gall stoesn male for emale

A

female

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9
Q

what is seen on presnaitno for gall stones

A

asymptomatic, dyspepifc sympis, bilary colic, acute cholecyties, empyerm, perfaito , gall stoesn ilues

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10
Q

what is choledocho lithisais

A

gall stosn in the common bile duct

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11
Q

presentioan of choledochisslis

A

incidnetla at cholecytemomy
jauncie
pain
asceing cholangitis
acute pancttie s

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12
Q

blood investion for gall stones

A

lft, ast, alp, alt, amylase, lipase, wcc

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13
Q

scans for gall stoens

A

uss
eus
oral cholecjyompys
ct
radioisotope scan
iv cholangiography
mrcp
ptc
ercp

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14
Q

what is the non operative mangement of gallstones

A

dissolution - makes bile thinner reducing reisk of more gall stoens and stopping incresi in sizeo

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15
Q

operatieve management of gall stoens

A

open cholecystectomy
mini cholecystectomy
laproscopic cholecytejy
single port cholecytemcy
notes cholecycomy

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16
Q

mini cholecystectomy

A

go though smaller area just above gall balder

17
Q

single port cholecytesm

A

go though umbilus nad work way up, requiring only one scle

18
Q

cholecystomcy

A

removal of hte gall bladder

19
Q

how to mange cbd stones

A

ercp, transhepic stone retrival , lap trnasy cystic cbd,laprosopic expaiton of common bile duct

20
Q

causes of bilary tract stricurle

A

gall stoens realed (mirrizie
larogenic (medicla procure
inflamatoyr
- pyogenic
parasic
psc
pancreatiiss
hiv

21
Q

what is bilary atreais

A

born wiht narrowing of cetian tuebs form gall bladder or hepatic bile duct or common bile duct

22
Q

what are choldochal cyts

A

cyst, some hwere on the bilary tree

23
Q

scoring catogory for latrogenic bile duct injuries

A

strasberg classificaiton

24
Q

what is a bilary enteric fistula

A

where a large bile sone for teh gall bladder is related leading to a blockage inteh small bowle

25
what are maligant jaundice tumors
cancer of hte head of hte pancre cholagniocarcinoma
26
cholangiocarcioma
cacncer of the bilary tree
27
risk factors for cholangocarcioma
psc, congeigal cystic disease, bilary entetic drainage thorstas carciogens
28
types of intrahepaic cholangiomas
mass forming, pericucla intraaductio
29
treatmenf or cholangiocarina
curative suergyer pallative surical bipayse radiotherapy chemotherapy PDT liver transplant
30
presentaio of cholangiocarnio
obstuctive juandice ichtinc non speficic symptoms
31
investigations fo cholangiocarcimona
lab, uss, eus ct, mra , mrcp, ptc ercp, agnoigramy , chalaiopy cytoloyg
32
types of ampulary tumoru
adenoma vs adenocarcioma
33
treatment fo rampullary tumours
endoscopci excistion trans duodenal excision pancreatico duodenectomy
34