Gallstones Flashcards Preview

OSCE Conditions > Gallstones > Flashcards

Flashcards in Gallstones Deck (8):
1

Risk factors for gallstones

Female, age, obesity, rapid weight loss, multiparity, high cholesterol, oral contraceptive, ileal disease

2

Symptoms of gallstones

Asymptomatic
Biliary colic - sharp intermittent epigastric/RUQ pain. Worse after eating, resolves over 30-90mins.
Associated nausea and vomiting, indigestion, flatulence

3

Signs of gallstones

Jaundice
Poorly localised pain (no murphys sign)

4

Investigations of gallstones

Ultrasound scan

5

Management of gallstones

Cholecystectomy
Ursodeoxycholic acid treatment - reduces cholesterol saturation of bile
Dietary changes - reduce intake of fat and acidic foods to reduce incidence of biliary colic

6

Complications of gallstones

Cholecystitis
Mucocoele (distension of gallbladder)
Ascending cholangitis
Acute pancreatitis
Gallbladder perforation

7

Pathophysiology of gallstones

Bile salts (cholesterol, calcium and bile pigment) precipitate out of solution in gallbladder to form hard stones
Block the cystic duct when gallbladder contracts

8

Gallstones differential diagnosis

Peptic ulcer disease
Pancreatitis
GORD
IBS
Cancer of gallbladder
Hepatitis