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Old 11-24-2014
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Default a question regarding GI pathology from Uworld

A 23 year old man is hospitalized with acute pancreatitis that resolves rapidly on fasting. He has suffered 2 similar episodes during the past 2 years. A gallbladder ulstrasound obtained during a previous episodes was normal. The patient has no other medical problems and takes no medications. He does nto consume alcohol. Which of the following tests should be considered during the workup of this paitent?

A.Serum ceruloplasmin
B.Serum cholesterol
C.Serum ferritin
D.Serum triglycerides
E.Serum uric acid
F.Urine oxalate

Why anser is D not B since cholesteral is the most common cause of gallstone. The explanination given was becuz triglycerides caused gallstone in ultrasound is radiolucent but isnít the cholesterol caused gallstone most of time is radiolucent and it is only when it has calcified then it will become radiopaque (10~20%). It is on id 440. Can someone please explain this to me! I know triglyceride is one of the minor caused of gallstone but I'm just confuse with ultrasound finding of this question! Thank you!
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Old 11-24-2014
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Originally Posted by jyhhsieh View Post
A 23 year old man is hospitalized with acute pancreatitis that resolves rapidly on fasting. He has suffered 2 similar episodes during the past 2 years. A gallbladder ulstrasound obtained during a previous episodes was normal. The patient has no other medical problems and takes no medications. He does nto consume alcohol. Which of the following tests should be considered during the workup of this paitent?

A.Serum ceruloplasmin
B.Serum cholesterol
C.Serum ferritin
D.Serum triglycerides
E.Serum uric acid
F.Urine oxalate

Why anser is D not B since cholesteral is the most common cause of gallstone. The explanination given was becuz triglycerides caused gallstone in ultrasound is radiolucent but isnít the cholesterol caused gallstone most of time is radiolucent and it is only when it has calcified then it will become radiopaque (10~20%). It is on id 440. Can someone please explain this to me! I know triglyceride is one of the minor caused of gallstone but I'm just confuse with ultrasound finding of this question! Thank you!
You have to remember that hypertriglyceridemia is not a minor cause but a MAJOR cause of acute pancreatitis. Total Cholesterol increases but not normal cholesterol.

Just keep in the GET SMASHED mnemonic from FA in your mind. focus on only the causes and lab markers for this mnemonic.
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Old 11-24-2014
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I got it thanx becuz pt is fasting! & I was confuse becuz pathoma say tryglyceride is a minor cause but FA didn't say is a minor cause! Thank you!
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