18 Gallstones
Last updated
Last updated
bilirubin for heme elimination
bile salts for fat absorption
cholesterol for cholesterol elimination
all 3 needed in balance to not have stones
also need phosphatidylcholine
gallbladder cancer
either increased levels of cholesterol or decreased levels of bile acids and phosphatidylcholine
infections: convert to unconjugated, less soluble
hemolysis/liver disease: black
removal of gallbladder main way to treat stones
US: wall of gallbladder thickened
fever/WBC: inflammation
inflammation > Ca deposition > porcelain gallbladder
clonorchis: looks like cholangitis but with eosinophilia. Recently ate sushi/fish
take picture and extract stones
fistula between gallbladder and intestine
nl: never air in biliary tree
