biliary disease def Flashcards
(17 cards)
EGD/
definition?
used for?
esophagoGastroDuodenoScopy
used to visualize poss. PUD
pancreatitis/
test/ serum lipase why not the other one?
serum lipase to test Etoh abuse
serum lipase : sticks around much longer + more specific
than serum amylase
biliary dz/biliary colic/
location of the stone?
cystic duct
*biliary dz/choleCystitis/
location of the stone
stone blocked inthe Cystic duct=> inflammation of the Gbladder
*biliary dz/cholAngitis/
location of the stone
stone anywhere in the common bile duct
sign of acute cholangitis:
fever+ jaundice+abd pain= charcot triad
*choleDOchOLithiasis
stone migrated (from the GBladder) + is now stuck anywh in the CBD
CBD= cOmmOn Bile Duct
lithoTripsy tx for biliary dz:
what is it?
procedure using shock waves to break up stones in the
kidney;
bladder; or
ureter
CBD definition
common bile duct
conjugated hyperBilirubinEmia/
due to…
CBD=common bile duct obstruction or hepatitis
ERCP
endoscopic retrograde cholangioPancreatography
- direct cannulation of CBD+relieves obstruction via simultaneous stone extraction
- invasive method
CBD= common bile duct
MRCP
magnetic resonance CholangioPancreatography/
Noninvasive scan :visualizes CBD
HIDA scan
Cholescintigraphy;
Radioisotope is excreted by the liver.
In nl pt; gallbladder [] the isotope and is visualized.
ascending cholangitis/
definition;
possible etiologies
definition: ascending infection from the duodenum following etiology/
etiologies: CBD obstruction due to stones;tumors; strictures.
=> infection=> ascension of infection
cholangitis
stone logdes in the common bile duct
cholecystitis vs biliary colic/
similarity
differences
similarity: Calculi lodged In the cystic duct; => biliary colic or cholecystitis.differerences: cholecystitis=Inflammation of the gallbladder from the obstruction vs biliary colic =gallbladder contracts against the obstruction.
Calculi lodges In the common bile duct
can cause?
cholangitis and/or
pancreatitis.or
GAP=gallstone-associated pancreatitis
Rigors/
definition
visible shaking or teeth chattering chills
