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cholelitasis

deep questions

QuestionAnswer
Types of gallstones 1; cholesterol 2; crystalline cholesterol monohydrate 3; bilirubin
Patholgy on the basis of bile acids and salts Excessive cholesterol->bile salts and bile acids cannot emulsify it->stasis ->water gets absorbed ->mucus secretion->stone formation
Pathology on the Basis of extravascular hameorrhage( round worm, Clonorchis sinensis) Excessive bilirubin -> stasis->calcium deposition ->stones formation
morphology of cholesterol salts yellow, smooth surface, round, firm
morphology of bilirubin salts Black, fragile, round to oval, indicate sterility of gallbladder
cholesterol+ bilirubin stones yellow+ black
brown stones stones with superadded infection
Sx sharp and sudden RUQ pain, sense of fullness, shoulder blade pain, nausea, vomiting
complications biliary tract infections, biliary colic, jaundice, acute cholecystitis, chronic cholecystitis, gallstone ileus, gallbladder cancer
Created by: Arwa Rafique
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