What are the complications of gallstones? In this tutorial you will learn how to answer this question, and you'll learn a little bit about the clinical features and aspects of management for all the problems those pesky stones can cause. More tutorials at www.boxmedicine.com.
Mr Danny Sinitsky
almost 8 years ago
In a lecture today, someone said today that a patient might still get gallstones even after they've had their gallbladder removed. I don't get how! Can someone explain please?
about 9 years ago
An obese 63 year old lady presents with jaundice. There is no history of abdominal pain. Examination of her abdomen reveals a palpable gall bladder. There is evidence of extensive pruritis. She tells you she drinks 42 units of alcohol a week. Her blood results are as follows: Albumin 32 (35-50) Alk Phos 456 (<110) ALT 88 (<40) Bilirubin 120 (<20) INR 1.6 GGT 400 (0-70) What’s the most likely diagnosis? a. Gallstones b. Paracetamol Overdose c. Pancreatic cancer d. Alcoholic Hepatitis e. Primary billiary cirrhosis
about 8 years ago
Diet high in fat may reduce the risk of gallstones during rapid weight loss: http://www.nutrientsreview.com/lipids/fats.html Diet high in saturated fat may increase the risk of gallstones. Meals high in fat supposedly trigger pain in gallbladder stones disease, and many doctors recommend low-fat meals to prevent the pain http://www.patient.co.uk/health/gallstones-diet-sheet My questions: Do high-fat meals really trigger pain in gallbladder stone disease? Any experience with patients? Would you, as a doctor, recommend a low-fat diet to someone who already has gallstones?
over 7 years ago
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over 6 years ago
The abdominal x-rays show dilated small bowel loops with air fluid levels. The erect abdominal x-ray, on close examination shows air in the biliary tree. There are multiple rounded irregular densities in the mid abdomen (turned out to be calcified mesenteric lymph nodes on CT). This patient likely has a small bowel obstruction secondary to gall stone.
over 6 years ago