GB Stones

Question 1

Risk factors of gall bladder stones
علي حسب نوع الحصوة

Answer 1

1-Cholesterol:
ست تخينة مبتتحركش من مكانها
*Female ست
*High estrogen
*Estrogen replacement therapy.
*Obesity تخينة
*Billiary dyskinesia مبتتحركش من مكانها
(On tpn,fasting,crash diet,somatostatinoma)

Question 2

Risk factors of gall bladder stones
علي حسب نوع الحصوة

Answer 2

2-Mixed or brown pigment
شبه الصديد يعني
Recurrent pyogenic cholangitis

Question 3

Risk factors of gall bladder stones
علي حسب نوع الحصوة

Answer 3

3-Black or billirubin
Hemolysis as in: cirrhosis
Spherocytosis
Sickle cell anemia

Question 4

A young African American with longstanding anemia and no spleen

Answer 4

Black or billirubin

Question 5

An alcoholic with esophageal varices and encephalopathy.

Answer 5

Black or billirubin

Question 6

.A woman who is 24-weeks pregnant.

Answer 6

Cholesterol

Question 7

An Asian patient with innumerable stones piled up the CBD and left hepatic duct, but none
in the gallbladder.

Answer 7

Mixed brown
عشان دي حالة Recurrent pyogenic cholangitis

Question 8

. A patient with rapid weight loss from a “crash diet.”

Answer 8

Cholesterol
عشان billiary dyskinesia

Question 9

A patient with neurofibromatosis, a pancreatic tumor, diarrhea, and diabetes.

Answer 9

Cholesterol
عشان دي somatostatinoma

Question 10

A patient on longstanding total parenteral nutrition (TPN).

Answer 10

Cholesterol
عشان هيحصل billiary dyskinesia

Question 11

A patient with sepsis on ceftriaxone.

Answer 11

هنا هيحصل
Calcium crystals