mbch4kz2's version from 2016-04-16 16:01


Question Answer
What are the risk factors for gallstones?Female, >40, high BMI
Name 4 symptomsProstprandial (after eating a meal) pain, right upper quadrant or epigastric tenderness lasting for over 30minutes, nausea, jaundice
What are the 1st tests to considerFBC (elevated WBC suggests inflammation; cholecystitis, cholangitis or pancreatitis), serum LFTs, serum lipase and amylase, abdomnial US
What hormone causes the gallbladder to contractCholecystokinin (CKK)
What are the constituents of bileBile pigments and salts
What is the role of bile salts?Help to absorb fat in the ileum. Once the bile salts emulsify the fats they are absorbed in the ileum they travel back to the liver where they can be reused.
What are the 3 principal defects of gallstone formation?1. Bile is supersaturated 2. Accelerated nucleation 3. Gallbladder hypomotility
Name 5 differential diagnoses1. Peptic ulcer disease, gallbladder cancer, gallbladder polyps, a calculous cholecystitis, sphincter of Oddi dysfunction, non-biliary acute pancreatitis
What is the main treatment option for gallstones?ERCP