Gastroenterology · UKMLA & AKT

Gallstones and biliary colic

A free high-yield preview for the UKMLA Applied Knowledge Test, covering how to recognise this condition. The full SA Note notes add investigations, management and complications, with practice questions on this topic.

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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