MEDRADSC 2I03 Lecture Notes - Lecture 11: Biliary Colic, Common Bile Duct, Biliary Tract
11 Dec 2018
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1: diseased liver not processing the bilirubin (cirrhosis and hepatitis) Required for metabolizing proteins and fats: obstructive disease interfering w bile secretion. Stone in duct (cmd - common bile duct) a: cancer (intrinsic/extrinsic - affects level of bilirubin) Painful - feel it move through duct. Cholelithiasis - large gallbladder, possible distension from blockage. May occur alone but usually occur together: nidus. Pt move around in different position -> (gravity dependent) see stones fall to bottom of gallbladder. Mercedes benz sign: gallbladder full of fluid w stones. Lucent areas within stone -> form mercedes benz sign. Often associated w stone impaction: pain that is felt when stone is stuck. Sudden onset of agonizing mid-epigastrium pain: more central. Biliary colic: may radiate shoulder or back. Gallstones can result in: no complications. Onenote online https://cac-onenote. officeapps. live. com/o/onenoteframe. aspx?ui=en-us&rs=en-us&wopisrc=https://mcmasteru365-my: poop it out, once it"s in intestine -> don"t feel it, only feel pain or pressure if caught. Infection - gallbladder (gb: obstruction - ducts.
