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Flashcards in Biliary Tract Deck (14):
1

Different clinical findings of jaundice caused by CBD obstruction vs. malignancy

CBD obstruction jaundice= fluctuating intensity
malignancy jaundice= progressive

2

Charcots Triad Of

Cholangitis = RUQ pain, fever, jaundice

3

Reynolds Pentad Of

Acute cholangitis progresses to infection and pus found in bile ducts.
RUQ pain, fever, jaundice, AMS, hypoTN

4

TX of cholangitis

Bowel rest, IV abx, IVF, NGT if vomitting. Cholecystectomy once stable if stones were dx.

5

Gallstone Pancreatitis

cholecystectomy within 48-72 hrs if mild-mod once inflammation has decreased.
If Severe, may need to wait weeks to months. ABX and maybe cholecystostomy or sphincterotomy with stone extraction if necc.

6

Gallstone Ileus

Actually mechanical obstruction

7

Test for gallstone ileus

CT w oral contrast: shows biliary-enteric fistula, air in gallbladder, intestinal obstruction, and stone

8

Gallstone ileus TX

NGT, IVF, surgical removal of stone, cholecystectomy and correction of fistula

9

Name for cancer of extrahepatic bile duct

Bile duct cancer

10

Name for cancer of intrahepatic bile duct

Cholangiocarcinoma

11

A palpable, nontender gallbladder in a jaundiced patient indicates that the site of the obstructing tumor is

Distal to cystic duct and CBD junction (mimics pancreatic head tumor presentation)

12

operation of choice for distal bile duct lesions

whipple procedure

13

test for dx biloma

ercp or mrcp for exact location

14

Bile duct considered dilated is larger than:

7mm