LGW Bilio-pancreatic Diseases Flashcards
patient was eating “ fish and chips” when attack of RUQ occured …
release of CCK allows for the contraction of the gallbladder and relaxation of the sphincter of oddi
what causes relieef of symptoms when it comes to impacted gall stones ?
either anti spasmodic was taken or the impacted gallstone has moved away from the neck of the gallbladder
a thickened wall on ultrasound of gall bladder may indicatee ?
chronic calcular cholecystitis
how does a HIDA scan work ?
radioactive isotope injected intravenously , taken up by the liver and then excreted in the bile
what is non visualization of the GB usually suggestive of in HIDA scan ?
acute cholecystitis
absent gallbladder filling in HIDA scan indicates ?
acalculous cholecystitis
reduced or delayed GB visualization with HIDA scan often indicates ?
contracted bladder
how can a bile leak be confirmed ?
HIDA scan
what is seen on US of emphysematous cholecystitis ?
air in the wall of the gallbladder
what type of patients are more prone to developing emphysematous cholecystitis ?
elderly meen
diabetics
how can a diagnosis of emphysematous cholecystitis be made ?
made on abdominal x ray
what is the best management for emphysematous cholecystitis and in unstable patients?
prompt surgical drainage
followed by cholecystectomy
in unstable patients - perform percutaneous cholecystectomy
acutee vs chronic calcular cholecystitis ?
chronic is less painful do not expect to find any clinical findings or laboratory findings
bruising of the abdominal wall , esp peri umbilical may be indicative of ?
cullen’s sign and grey turner’s sign
both indicative of acute pancreatitis
acronym used for causes of pancreatitis ?
GETSMASHHED
gall stones
ethanol
trauma
steroids
mumps
auto immune
scorpion bite
hypercalcemia
hypertriglyceridemia
