Gastroenterology · UKMLA & AKT

Gallstones and biliary colic

A free high-yield preview for the UKMLA Applied Knowledge Test. Below are the key points to recognise gallstones and biliary colic — the full SA Note notes add investigations, management, complications and 10 practice questions.

Key high-yield points

  • 5 Fs: Fat, Female, Fertile/pregnant, Forty, Family history
  • OCP/HRT - exogenous oestrogen increases biliary cholesterol
  • Crohn's disease/ileal resection - impaired enterohepatic circulation of bile salts
  • Haemolytic anaemia (e.g. sickle cell) - excess bilirubin → pigment stones

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