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Gall Bladder Disease Notes

Medicine Notes > General and Vascular Surgery Notes

This is an extract of our Gall Bladder Disease document, which we sell as part of our General and Vascular Surgery Notes collection written by the top tier of University Of Leicester students.

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Gall Bladder Disease GallstonesVery common in patients >40 years Usually asymptomatic

Bile contains
- Phospholipids
- Cholesterol
- Bile pigments (from Hb) Stones can be
- Pigment stones (resulting from haemolysis e.g sickle cell disease)
- Cholesterol stones (risk factors = female, obesity, age) Gallstones may cause
- Acute or chronic cholecystitis
- Biliary colic
- Cholangitis
- Pancreatitis
- Obstructive jaundice

Acute cholecystitis Follows tone of sludge impaction in neck of gall bladder Clinical features
- Epigastric/RUQ pain - can be referred to right shoulder tip
- Vomitting
- Fever
- Local peritonism
- Palpable mass
- Murphy's sign (pain on inspiration when palpating RUQ) Investigations
- Bloods o Raised WCC
- Imaging o USS - thick walled shrunken gallbladder, dilated CBD, stones Management
- Pain relief

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