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Flashcards in Gallbladder Deck (25):
1

What are the ducts of the gallbladder

Left Hepatic duct
Right hepatic duct
Common hepatic duct
Common bile duct
Cystic duct
Pancreatic duct

2

What is biliary colic

it is a type of pain that occurs due to the impact of gallstones in Cystic duct

3

What are the manifestations of biliary colic

Constant pain in RUQ
Night pains after fatty meals
Radiation up the shoulder or the scapula

4

What is acute cholecystitis

inflammation of the gallbladder due to impaction in cystic duct

5

What are the manifestation of cholecystitis

Fever
Right tenderness

6

What is the Physical exam of cholecystitis and the lab exam

Murphy positive sign
Leukocytosis

7

What is acalclous cholecystitis

acute or chronic cholecystitis in the absence of stones. NO STONES!

8

What are the risk factors for acalclous cholecystitis

ICU admission
Trauma patient
DM
Sepsis

9

What is the gallbladder

it is a small organ where bile is stored and concentrated before it is released into the small intestine.

10

What is bile

is an aids in digestion of lipids bile salts, bilirubin and fats

11

What is cholelithiasis

Its a solid, round stones in gallbladder due to the precipitation of cholesterol or bilirubin in blie

12

What are the common types of gallstones

cholesterol and yellow in color

13

What are the risk factors for cholelithiasis

Female
Fertility
Forties
Fat

Risk Factors:
Age
estrogen
Clofibrate
Native Americans
Crohn
cirrhosis

14

What is choledocholithiasis

it is stones in common bile duct

15

What is acute cholangitits

is common infection of the bile duct that is usually due to bacteria

16

What does acute cholangitits lead to

biliary stasis
Bacteria overgrowth
sepsis

17

What are the manifestations of acute cholangitits

fever
RUQ pain
Jaundice
shock
confusion

18

What is the Charot triad

Fever
RUQ pain
Jaundice

19

What is Reynold's Triad

Fever
RUO pain
Jaundice
Shock
Confusion

20

What is Gallstone ileus

rare form of small bowel obstruction caused by impaction of gallstone in small intestine

21

What are the causes of gallstone ileus

repeated inflammation

22

Where is the stones in the gallstone ileus

ileocecal valve

23

What is gallbladder carcinoma

cancer of intra/extra hepatic bile ducts

24

What are the causes of gallbladder carcinoma

Clonorchis sinensis infection

25

What are the manifestations of gallbladder carcinoma

enlarged, palpable gallbladder with the head of the pancreas carcinoma