Gastroenterology & Hepatology — Flashcards

Acute cholangitis is caused by _____ which results in biliary stasis → bacterial translocation into bile ducts → bacterial infection ascends the biliary tract

_____ can occur in ascites that is most commonly caused by E. coli on ascitic fluid culture

Hint: complication

In acute cholecystitis there is _____ AST & ALT, normal bilirubin, normal ALP, normal γ-GT

Hint: ↓/↑

Median age of acute cholangitis is _____-60 years old

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

Paralytic ileus most commonly occurs _____

Serum-ascites albumin gradient (SAAG) ≥ _____g/L it indicates a portal hypertensive cause

What is the management for acute cholecystitis? _____ Laparoscopic cholecystectomy within 1 week

Hint: initial

Spot diagnosis = _____

Iatrogenic cause of ascending cholangitis is _____