18 Gallstones
typora-copy-images-to: ./images
![](https://photos.thisispiggy.com/file/wikiFiles/1CF06E97-07A8-461B-B097-CC0433C7EA19.jpg)
- 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
![](https://photos.thisispiggy.com/file/wikiFiles/DE72BD03-BA27-43FE-A694-7CC28FE38F54.jpg)
Cholesterol Stones
![](https://photos.thisispiggy.com/file/wikiFiles/15AEEBE2-45F8-4E61-A435-95B55AA11BF8.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/008557E1-C50B-4F8B-9F1F-14170E7B2361.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/5E223509-246F-47FB-A22F-C3169981A29C.jpg)
- either increased levels of cholesterol or decreased levels of bile acids and phosphatidylcholine
Risks
![](https://photos.thisispiggy.com/file/wikiFiles/8AAA93F0-1729-44A0-BFA1-6FC23AB073B9.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/666452F9-71F9-42B7-8925-932C443CA63B.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/8DA07642-7021-4981-A76E-12C558C6C17C.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/9CF0264D-6AB3-4024-AD02-67BA6BBE473B.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/16DD75CC-3056-4438-8ECF-018F24A45987.jpg)
Bilirubin Stones
![](https://photos.thisispiggy.com/file/wikiFiles/B119A0E0-184C-4FF4-A1EC-D6F5FA33DB56.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/DE9B9237-76BC-4FD5-BF75-F8AD2F2D9C33.jpg)
- infections: convert to unconjugated, less soluble
- hemolysis/liver disease: black
Gallbladder Symptoms
![](https://photos.thisispiggy.com/file/wikiFiles/A3F36BF9-66DF-4319-8E3A-DF8E4A9D9666.jpg)
- removal of gallbladder main way to treat stones
![](https://photos.thisispiggy.com/file/wikiFiles/DD89A2AE-0A38-4652-A664-802CCA218FF5.jpg)
Biliary Colic
![](https://photos.thisispiggy.com/file/wikiFiles/0FF51C8F-8EF2-4A89-B3D3-048DEF4A7D67.jpg)
Acute Cholecystitis
![](https://photos.thisispiggy.com/file/wikiFiles/B17C39AE-DDEF-4BD3-A272-C829A22C0BFF.jpg)
- US: wall of gallbladder thickened
![](https://photos.thisispiggy.com/file/wikiFiles/16D8BBF9-F2D0-4D52-9410-E17119C175D7.jpg)
Choledocolithiasis
![](https://photos.thisispiggy.com/file/wikiFiles/5D6F7040-3B0F-49F8-9969-71875C04BCA8.jpg)
Gallstone Pancreatitis
![](https://photos.thisispiggy.com/file/wikiFiles/4B8948AC-0A8E-4BD4-B0D0-9B25F11215B2.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/763F80C7-F52E-40CC-88AA-D76E48FBB2E1.jpg)
Chronic Cholecystitis
![](https://photos.thisispiggy.com/file/wikiFiles/49B81CB2-6605-4D28-A11B-A5EAA1272E92.jpg)
- inflammation > Ca deposition > porcelain gallbladder
Acalculous cholecystitis
![](https://photos.thisispiggy.com/file/wikiFiles/A74773B0-6596-4CFC-894F-509F62B594FA.jpg)
Bile Duct Symptoms
AIDS Cholangiopathy
![](https://photos.thisispiggy.com/file/wikiFiles/5A7EB82C-BE91-4EC0-9E66-ADDD5B8E9EBC.jpg)
Ascending
![](https://photos.thisispiggy.com/file/wikiFiles/7821D3E3-C2D9-4A17-A061-409A5B608D42.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/A5C5C47F-D993-4212-A6EE-EC74D56DF12A.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/8E946044-2756-40BA-A3F4-9D930AF3AD30.jpg)
- clonorchis: looks like cholangitis but with eosinophilia. Recently ate sushi/fish
![](https://photos.thisispiggy.com/file/wikiFiles/08EF8E45-F3BC-44EB-B6AE-57741762B2C7.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/B3654783-8970-45AF-8BDB-BA67DD90391B.jpg)
- take picture and extract stones
![](https://photos.thisispiggy.com/file/wikiFiles/4B45EBBF-9C67-442B-9E99-4E7D7F1EC1DB.jpg)
Gallstone Ileus
![](https://photos.thisispiggy.com/file/wikiFiles/66AD7752-ABCD-4B32-89EF-636921E2DEF4.jpg)
- fistula between gallbladder and intestine
- nl: never air in biliary tree
Gallbladder Carcinoma
![](https://photos.thisispiggy.com/file/wikiFiles/1E227F4A-7927-4BD9-8D1A-38F3BF9A7C71.jpg)
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