Biliary Tract Disease Flashcards Preview

Gastro > Biliary Tract Disease > Flashcards

Flashcards in Biliary Tract Disease Deck (35):
1

What 5 things can gallstones cause

Colic
Cholecystitis
Jaundice
Pancreatitis (can be fatal)
Bowel Obstruction (unusual)

2

Why is there more chance of getting gall stones as you get older

The level of cholesterol in the body increases
bile gets stickier so it is more likely to become grit like

3

What are the most common type of gall stones

Mixed stones

4

What is the rarest type of gall stones

Primary bile duct stones

5

What are the other 2 types of gall stones

Cholesterol or pigment stones

6

What are the 5 Fs for gallstones

Forty or fifty
Female
Fat
Fertile
Fair ethnicity

7

What are the symptoms of biliary colic

Stone impacts in the cystic duct
Gradual build up pain in RUQ
Radiates to back/ shoulder
May last 2-6 hours
Associated with indigestion / nausea

8

What are 5 causes of severe acute epigastric pain

Biliary colic
Peptic ulcer disease
Oesophageal spasm
Myocardial infarction
Acute pancreatitis

9

How does acute cholecystitis occur

Inflammation in the gall bladder
Obstruction of cystic duct
Initially sterile then becomes infected

10

Why would you see kidney stones but not gall stones on an x ray

Kidney stones contain calcium and the gall stones don't

11

What are 5 different diagnostic tools of gallstones

Ultrasound
CT scan
MRCP / ERCP
HIDA
EUS

12

What is the treatment of acute cholecystitis

IV antibiotics
IV fluids
NBM
US to confirm

13

What is the preferred option of acute cholecystitis

Urgent cholecystectomy

14

What might we do for more elderly patients that are frail and unfit

Interval cholecystectomy

15

What is a major complication of laparoscopic cholecystectomy

Bile duct injury

16

What happens when the stones migrate into the common bile duct

Jaundice (if blocking)
Infection of bile duct (cholangitis)
Acute pancreatitis

17

What are the 2 main causes of acute pancreatitis

Alcohol or gallstones

18

What is the best treatment for acute pancreatitis

Remove the gall bladder to prevent any future stones sticking and causing pancreatitis again

19

What is Gallstone ileus

gallstone impacted in the distal ileum causing a Small bowel obstruction

20

Who is most likely to develop a gallstone ileus

Elderly females

21

Do all gallstones cause symptoms

No

22

What is the single best test for gall stones?

Ultrasonography to tell us whether there are gall stones or not and where they are

23

Do we always remove gallstones?

No
Only if they are symptomatic or causing complications

24

What is cholangiocarcinoma

Bile duct cancer

25

How common is cholangiocarcinoma

1 in every 100,000

26

Where is the most common site of cholangiocarcinoma

Perihilar

27

When do cholangiocarcinoma present

Late

28

What are the common symptoms of cholangiocarcinoma

Jaundice
Weight loss
anorexia
lethargy

29

What are 2 complications of cholangiocarcinoma by the time the patient presents

Metastases to the lymph nodes or peritoneal

30

What is the most common type of care for cholangiocarcinoma

Palliative

31

What 3 diagnositic tests are used for staging or assessment of cholangiocarcinoma

Suplex ulstrasound
MRI
Spiral CT

32

How many types of cholanguicarcinoma

4

33

What can we do for a patient that has not got metastatic disease

Surgery to create a new bile duct

34

What is the prognosis of cholangiocarcinoma with surgery

50% survival after 5 years

35

What is a treatment for cholangicarcinoma that has spread and why do we do this?

Biliary stent to relieve symptoms

Decks in Gastro Class (67):