Gallstones Flashcards
1
Q
What are gallstones made of?
A
Cholesterol and pigment
2
Q
Risk factors for Gallstones
A
Age Female Fertile Obesity Cholesterol Diabetes Parity Pigment Female, fair, fat, fertile & forty
3
Q
Gallstone Complications
A
Dyspeptic symptoms Acute cholecystitis Chronic cholecystitis Carcinoma of gall bladder wall Pancreatitis Empyema Gallstone Illeus Gallbladder cancer - rare but 90% of cx px have gallstones Crohn's disease
4
Q
Gallstone Presentation
A
Right upper quadrant pain (can cause referred right shoulder pain) Epigastric pain Dyspepsia symptoms Fever Gall bladder mass Local peritonism Asymptomatic
5
Q
Gall bladder investigation s
A
Ultrasound Scan
6
Q
Gall bladder treatment
A
Asymptomatic - no tx Observe Laparoscopic Cholecystectomy Dissolution Lithotripsy
