Special Surgery · MU Plovdiv

51. Cholecystitis

Inside: 27 sections · 4 labelled pictures · 1 table · 16 flashcards · 6 min

Topic 51 of 74 in the MU Plovdiv syllabus for Special Surgery (Medicine, Year 4). The free AceMed note covers it in 27 sections, about 691 words (6 min of reading), with 16 flashcards.

In this note

  1. What is the definition of cholelithiasis?
  2. What does the term cholecystolithiasis denote?
  3. What does the term choledocholithiasis denote?
  4. What does the term hepaticolithiasis denote?
  5. What does the term “hepatolithiasis denote”?
  6. There are 3 types of gallstones according to their chemical structures. Which are they?
  7. There are 2 clinical forms of cholecystolithiasis. Which are they?
  8. What is the clinical presentation of biliary colic?
  9. What is the definition of acute calculus cholecystitis?
  10. What is the difference on pathological point of view between biliary colic and acute calculus cholecystitis?
  11. What does Murphy’s sign mean?
  12. Which physical findings will help the clinician to distinguish acute cholecystitis from biliary colic?
  13. Which is the imagine method of choice in diagnosis of acute cholecystitis?
  14. What are the indications of emergency cholecystectomy in acute cholecystitis?
  15. What is the definition of acute acalculous cholecystitis?
  16. Which are the most common risk factors for the development of acute acalculous cholecystitis?
  17. In general, what is the treatment of acute acalculous cholecystitis?
  18. There are 2 options of the origin of the common bile duct stones. Which are they?
  19. Which are the complications of choledocholithiasis?
  20. Which is the clinical presentation of ascending cholangitis?
  21. In general, what is the treatment of ascending cholangitis?
  22. What does “Mirizzi syndrome” mean
  23. Define Acute cholecystitis and clinical presentation?
  24. Define acute ascending cholangitis? (Other source)
  25. Clinical presentation of acute ascending cholangitis with one term?
  26. Treatment of acute ascending cholangitis?
  27. Causes of obstructive jaundice?

What is the definition of cholelithiasis?

  • Cholelithiasis → is a synonym of gallstones (which means stones in the biliary system).

What does the term cholecystolithiasis denote?

  • Cholecystolithiasis denote→ Gallstones that are formed and localised in the gallbladder.

What does the term choledocholithiasis denote?

  • Choledocholithiasis denote → Gallstones that are localised into common bile duct.

What does the term hepaticolithiasis denote?

  • Hepaticolithiasis denote → Gallstones that are localised into common hepatic duct

What does the term “hepatolithiasis denote”?

  • Hepatolithiasis denote → Gallstones that are localised into intrahepatic biliary tree

There are 3 types of gallstones according to their chemical structures. Which are they?

  1. Cholesterol stones
  2. Pigment stones
  3. Mixed stones.

There are 2 clinical forms of cholecystolithiasis. Which are they?

  1. Asymptomatic stones
  2. Biliary colic (result of temporary obstruction of the gallbladder cystic duct)

What is the clinical presentation of biliary colic?

  • Biliary colic is presented with pain.
  • Although often referred to as colic, the pain in biliary colic is usually constant
  • Found in the epigastrium and right upper quadrant
  • May radiate through to the back in the region of the inferior angle of the scapular.
  • Nausea and vomiting are common.
  • Fever is absent
  • sudden intense RUQ pain
  • radiates to R. Scapula
  • sudden onset (15-30 mins after a fatty meal)
  • 30 mins -> few Hrs
  • steady dull pain
  • N +V
  • No Fever (only cholecystitis)
  • Murphy's '-'

Continue reading free

The whole note, all 27 sections, is free with an AceMed account, with its 16 flashcards. Premium adds flashcard recall, highlights and Ask AI.

Start freeAlready a member? Open the note