Biliary Tract Disease Flashcards Preview

GastroIntestinal (GI) > Biliary Tract Disease > Flashcards

Flashcards in Biliary Tract Disease Deck (17):
1

What can gallstones cause?

Colic - pain
Cholecystitis
Jaundice
Pancreatitis
Bowel obstruction

2

Who is likely to present with gall stones?

Increases with age
Women more likely than men.
(Except for stewart)

3

Why does gall stone increase with age?

Cholesterol increase
Bile flow slowed

4

Why do gallstones form?

Abnormal bile composition
Bile stasis
Infection
Excess Cholesterol
Excess Bilirubin
Hyperbilirubinanaemia

5

What forms mixed gall stones?

Bile salts
Lecithin
Cholesterol

6

What are the risk factors for gallstones?

The five F's

Forty
Female
Fat
Fertile
Fair

7

Where does a gallstone lodge to cause biliary colic?

Beck of gall bladder

8

What is biliary colic?

Stone impacting on the cystic duct
Pain builds up slowly in RUQ
Pain lasts for 2-6 hours
Indigestion

9

What is the differential diagnosis for severe acute epigastric pain?


Biliary colic
Peptic ulcer disease
Oesophageal spasm
Myocardial infarction
Acute pancreatitis

10

How do you test for gallstones?

Ultrasound - best
CT
MRCP
HIDA
EUS

11

Will you see a gallstones X-ray?

No. The bile does not pick it up

12

Will you see a kidney stone on x-ray?

Yes. It is composed of calcium

13

What is the treatment for acute cholecystitis?

IV antibiotics
IV fluids
Ultrasound
Urgent cholecystectomy

14

What symptoms are there if the gall stone migrate to the common bile duct?

Jaundice
Colangitis
Acute Pancreatitis

15

how does a gall stone cause acute pancreatiits?

Gall stone is stuck at the bottom of the common bile duct

16

What is the best treatment for gall bladder pancreatitis?

Cholecystectomy

17

What is the pathology of a gallstone ileus?

Fistula gallbladder + duodenum - Large gallstone passes into small intestine.


Moves down SB causing intermittent colic

Present with distal SB obstruction.