Jaundice Flashcards Preview

Surgery Review > Jaundice > Flashcards

Flashcards in Jaundice Deck (13)
Loading flashcards...
1
Q

what are the 3 types of jaundice

A

pre-hepatic (reabsorption of hematomas)
Intrahepatic (genetic dz, hepatitis)
posthepatic

2
Q

what type of hyperbilirubinemia is seen w/ pre-hepatic jaundice

A

unconjugated hyperbilirubinemia

3
Q

with an elevated conjugated bilirubin what will you see?

A

dark urine

clay colored stools

4
Q

what is one main cause of an elevated conjugated bilirubin

A

acute choledochlithiasis

5
Q

presentation w/ choledoclithiasis

A

fever
leukocytosis
pain
Murphy’s sign

6
Q

Tx for choledochlithiasis

A

ERCP

7
Q

presentation w/ cholangiocarcinoma

A

painless jaundice
weight loss w/ clay colored stool
no fever, leukocytosis or Murphy’s sign

8
Q

what is a sign that is suspicious for pancreatic cancer

A

migratory thrombophlebitis

9
Q

best way to evaluate pancreatic cancer

A

endoscopic US

10
Q

presentation w/ pancreatic cancer

A

painless jaundice
weight loss w/ clay colored stool
no fever, leukocytosis or Murphy’s sign

11
Q

how to dx cholangiocarcinoma

A

ERCP and biopsy

12
Q

when to suspect ampullary cancer

A

FOBT positive
negative colonoscopy
jaundice

13
Q

how do you dx cancer of ampulla of vater

A

ERCP and bx