*Gallsotone pancreatitis: allevate by leaning forward, worsened by alcohol and food

Cholelithiasis

Biliary “Colic”

!Acute Cholecystitis → Murphy’s Sign - AC

Choleducholithiasis

!Ascending Cholangitis

!Acute Pancreatitis → Biliary Pancreatitis

Gallstone Ileus

Biliary Obstruction of Malignancy

Pathogenesis + Risk Factors

1. Hyper-saturation of cholesterol
   • North American (cholesterol)
2. Hyper-saturation of CaO2
   • Crohn’s Disease (CaO2)
3. Decreased duct mobility
   • Older Adult > 65 (RF) (decreased CCK response)
   • Estrogen → decreased mobility
     • Estrogen
     • Obesity (higher cholesterol and higher estrogen)
     • Female
     • Pregnancy

• FHx

Diagnosis (in general)