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Gallstones Cholelithiasis Ultrasound (Causes (⬆Cholesterol and Bilirubin…
Gallstones
Cholelithiasis
Ultrasound
Causes
⬆Cholesterol and Bilirubin
⬇ Bile salts
Gallbladder stasis
Risk factors
Female
fat
fertile
multiparity
40
Types
Cholesterol stones (80% )
Native American
Radiolucent 10 to 20% effective calcification
Obesity crohn disease
Advanced age and Rapid weight loss
Oestrogen therapy and multiparity
Pigment stones
Black Radio opaque
Ca + 2
Hemolysis and bilirubinate
Brown radiolucent
Infection
Advanced age
Crohn disease and total parenteral nutrition ( TPN )
Chronic haemolysis
Alcoholic cirrhosis and biliary infections
Complication
Cholecystitis
Acute pancreatitis
Ascending cholangitis