Gastroenterology & Hepatology — Flashcards

What is the first-line investigation for symptomatic gallstones? _____ Abdominal ultrasound

Hint: Bloods

Up to ~_____% of patients with cholelithiasis have acute cholangitis

The characteristic presentation of _____ is diffuse periumbilical pain that localises to the right lower quadrant over ~24 hours

Gallstones are typically made of _____

On examination, _____ has a +ve Murphy's sign which is when the examiner instructs the patient to breathe out, then palpates gallbladder (RUQ), instructs the patient to breathe in, which causes inspiratory arrest because of gallbladder pain as the diaphragm pushes gallbladder down into palpated hand

What is the management for ascites? _____ Spironolactone monotherapy

What is the management for large, or refractory ascites? _____

_____ often presents with RUQ abdominal pain, fever, & jaundice known as Charcot's triad

Spontaneous bacterial peritonitis presents with ascites + _____, fever

Gallstone diseases/complications are _____, acute cholecystitis, and severe complications such as cholangitis & pancreatitis

Hint: most common