UW-cholecystectomy

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UW-cholecystectomy

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neuroblastoma
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10/27/07 - 05:09 PM

A 42-year-old Hispanic female comes to you with a complaint of amenorrhea for the past 3 months. You order an abdominal and pelvic ultrasound, which shows a submucosal fibroid in the uterus, along with multiple gallstones. On examination, she has normal vital signs, no icterus or abdominal tenderness. She has no intolerance to fatty food and is not taking any medication. What is the next best step in the management of her gallstones?

A. Schedule the patient for laparoscopic cholecystectomy.
B. Prescribe her ursodeoxycholic acid.
C. Do a laparotomy and remove the gallstones.
D. Do nothing at this time.
E. Lithotripsy to fragment the gallstones.

DrVirgo
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10/27/07 - 05:22 PM

Asymptomatic gallstones = do nothing
D.

If they were symptomatic, then elective cholecystectomy could be done.

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drdg
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10/27/07 - 05:46 PM

Ivonne
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10/28/07 - 11:11 AM

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neuroblastoma
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10/28/07 - 06:34 PM

correcttttttttt

DrVirgo
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10/28/07 - 06:38 PM

Yeaaaaa

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amkhit
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10/29/07 - 12:39 AM

Multiple gall stones , symptomatic or asymptomatic need a cholecystectomy. Multiple stoes have a chance of being dislodged into the biliary system and causing obstruction, cholangitis . Is this a q from a q bank , and is this the answer mentioned in it?

DrVirgo
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10/29/07 - 08:53 AM

amkhit wrote:
Multiple gall stones , symptomatic or asymptomatic need a cholecystectomy. Multiple stoes have a chance of being dislodged into the biliary system and causing obstruction, cholangitis . Is this a q from a q bank , and is this the answer mentioned in it?

Interesting.
"The book says Asymptomatic gallstones are left alone." -I'm not sure if they are refering to one or multiple.

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