20 Questions
Which disease is characterized by excess bilirubin in the blood and presents with yellowing of the eyes?
Jaundice
Which disease is caused by stone formation and associated chronic inflammation in the gallbladder?
Cholecystitis
Which disease is often associated with stone impaction and presents with sudden onset of agonizing mid-epigastric pain?
Cirrhosis
What is the term for the presence of gallstones in the biliary tree?
Cholelithiasis
What are the two most frequent diseases of the biliary tree?
Cholecystitis and Cholelithiasis
In which organ does stone formation and associated chronic inflammation occur in cholelithiasis?
Gallbladder
What is the term for the yellowing of the eyes in jaundice?
Icterus
What can cause an increase in the rate of bilirubin production in jaundice?
Hemolysis
What can interfere with the secretion of bile and cause obstructive disease in jaundice?
Stone in duct
What can cause jaundice in the presence of diseased liver?
Diseased liver
Which of the following is a symptom of chronic cholecystitis?
Fat intolerance
What can gallstones result in?
Obstruction of the bile ducts
What is the main cause of cirrhosis of the liver?
Alcohol abuse
What happens to the liver in cirrhosis?
Liver cells are replaced by fibrous connective tissue
What are the signs and symptoms of early cirrhosis of the liver?
Fatigue and weakness
What is the radiographic appearance of a diseased liver in cirrhosis?
Hazy with a ground glass appearance
Which symptom is associated with ascites in cirrhosis?
Abdominal pain
What is the name for the dilated cutaneous veins seen in cirrhosis?
Caput medusa
What can chronic irritation in cirrhosis of the liver lead to?
Cancer
What is the term for generalized edema in cirrhosis of the liver?
Ascites
Study Notes
Jaundice
- Characterized by excess bilirubin in the blood, presenting with yellowing of the eyes
- Increased rate of bilirubin production can be caused by hemolysis, ineffective erythropoiesis, or resorption of a large hematoma
- Interference with bile secretion can cause obstructive disease, leading to jaundice
- Diseased liver can also cause jaundice
Cholelithiasis
- Characterized by stone formation and associated chronic inflammation in the gallbladder
- Occurs in the gallbladder, leading to chronic inflammation and stone formation
- Can cause sudden onset of agonizing mid-epigastric pain due to stone impaction
Biliary Tree Diseases
- Cholelithiasis and cholecystitis are the two most frequent diseases of the biliary tree
- Presence of gallstones in the biliary tree is termed choledocholithiasis
Cirrhosis of the Liver
- Main cause is liver disease, leading to scarring and fibrosis of the liver
- Liver tissue is replaced by scar tissue, leading to loss of liver function
- Early signs and symptoms include fatigue, weakness, and loss of appetite
- Radiographic appearance of a diseased liver in cirrhosis shows a shrunken and nodular liver
- Ascites, a symptom of cirrhosis, is characterized by accumulation of fluid in the peritoneal cavity
- Dilated cutaneous veins seen in cirrhosis are termed caput medusae
- Chronic irritation in cirrhosis can lead to development of liver cancer
- Generalized edema in cirrhosis is termed anasarca
Test your knowledge on various biliary pathologies, including jaundice, cholecystitis, cholelithiasis, cirrhosis of the liver, hepatocellular carcinoma, and hepatic metastases. This quiz will cover the causes, symptoms, and treatments associated with these conditions.
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