Biliary Colic Flashcards
(7 cards)
What is biliary colic?
Temporary obstruction of gallbladder neck by gallstone
What are the features of Biliary Colic?
Colicky RUQ pain triggered by high fat meals
Murphy’s -ve
Systemically well
What are the risk factors of Biliary Colic?
Fair, female, fat, forty, DM, Crohn’s Disease, COCP, rapid weight loss
If a patient develops jaundice following a cholecystectomy for biliary colic, what has happened?
May have had a gallstone in CBD, has developed obstructive jaundice
What is investigations of biliary colic?
CRP + WCC normal
LFTs normal
Abdo US
What is the management for biliary colic?
Conservative - analgesia eg diclofenac, buscopan (antispasmodic)
Weight loss, avoid fatty meals
Elective lap chole for recurrent attacks
Which enzyme is responsible for stimulating the gallbladder to secrete bile?
Cholecystokinin
