Pain
- epigastric or RUQ pain
- constant (not colic/waxing and waning)
- starts suddenly, max. intensify in 60 min, resolves gradually over 6h. (Lasts 30min -6h)
- frequently happen at night or after fatty meal, relieved by morphine
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Showing posts with label Hepatobiliary. Show all posts
Showing posts with label Hepatobiliary. Show all posts
Tuesday, November 2, 2010
Biliary Colic
Presentation
Gallstone
Pathophysiology
Lithogenic Bile
- Supersaturation of bile with substances like cholesterol or calcium bilirubinate forming monohydrate crystals.
- The crystals are trapped in gallbladder mucus, producing gallbladder sludge.
- Over time, the crystals grow, aggregate, and fuse to form macroscopic stones.
Stasis
- Supersaturation of bile with substances like cholesterol or calcium bilirubinate forming mo
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