Gallbladder disease Flashcards
1
Q
symptoms of biliary colic
A
- colicky RUQ pain radiating to back/shoulder
- worse with food
- can cause obstructive jaundice
1
Q
what causes biliary colic?
A
temporary duct obstruction
2
Q
what does a USS/MRCP show in biliary colic?
A
dilation/stones
3
Q
management for biliary colic
A
bed rest
analgesia
elective cholecystectomy
4
Q
what cause acute cholecystitis?
A
- long-term cystic duct obstruction causes inflammation of gallbladder
5
Q
acute cholecystitis symptoms
A
- severe RUQ pain & peritonism
- positive Murphy’s sign
- fever & vomiting
6
Q
acute cholecystitis investigations
A
- bloods: raised WCC, CRP
- USS/MRCP shows dilation, thick GB wall
7
Q
cholecystitis management
A
- ABCDE
- IV fluids
- analgesia
- IV Abx
- urgent lective cholecytectomy
8
Q
what causes ascending cholangitis?
A
- long-term common bile duct obstruction causes duct infection
9
Q
symptoms of ascending cholangitis
Charcot’s triad
A
- high fever
- RUQ pain
- jaundice
10
Q
what will bloods show in ascending cholangitis?
A
raised WCC
CRP
LFTs show obstructive picture
11
Q
ascending cholangitis management
A
- ABCDE + sepsis 6
- IV fluids
- analgesia
- IV antibiotics
- emergency ERCP
