gallstone disease
Let an agent explain gallstone disease and its forms in neutral terms, relay risk factors, symptoms, diagnosis and treatment options in general from surgical and gastroenterology guidelines, and route people with symptoms to clinicians and emergencies to urgent care.
Research draft, second pass
A second pass drafted this model: the structure a model of this thing needs, and what is known about it in the world. The line under this one says how the second half was obtained - researched against sources, or recalled without web access, in which case nothing here was read anywhere and every claim is a lead to verify. Unreviewed either way.
written by Claude from model knowledge without web access - no source was read, every claim is a lead to verify
Researched by: Claude
Purpose and description
Let an agent explain gallstone disease and its forms in neutral terms, relay risk factors, symptoms, diagnosis and treatment options in general from surgical and gastroenterology guidelines, and route people with symptoms to clinicians and emergencies to urgent care.
A group of conditions caused by gallstones, hardened deposits of cholesterol or bilirubin forming in the gallbladder, called cholecystolithiasis, or in the bile ducts and liver, called choledocholithiasis and hepatolithiasis, and including biliary microlithiasis or sludge; gallstones may be silent or cause biliary colic, acute cholecystitis, cholangitis, pancreatitis and rarely gallstone ileus, and are treated by observation, cholecystectomy or endoscopic stone removal depending on symptoms and complications.
What it is for: Not applicable; a disease group.
It can be explain forms and causes; relay diagnosis and treatment in general; describe complications; route to clinicians.
Distinguishing features
Stone formation in bile
Often silent
Biliary colic
Surgical treatment
What it looks like
Not a visible object; stones seen on ultrasound.
Physical character
prevalence: about 10-15 percent - adults in Western countries
symptomatic share: about 20 percent - of people with stones
most common composition: cholesterol type
How it is recognised
Conditions caused by gallstones
Cholecystolithiasis, choledocholithiasis, hepatolithiasis, microlithiasis, biliary colic, cholecystitis, gallstone ileus
Kidney stones are in the urinary tract; gallbladder polyps are not stones
Related models
is a kind of - in registry terms
is caused by - formation
is treated by - when symptomatic
can cause - when stones obstruct
In practice
Families and kinds
cholecystolithiasis in the gallbladder
choledocholithiasis in the bile duct
hepatolithiasis in intrahepatic ducts
biliary microlithiasis and sludge
complications such as cholecystitis, cholangitis, pancreatitis and gallstone ileus
Identifiers
ICD-11 DC11 cholelithiasis
MeSH D042882 gallstones
Standards and regulation
Guidelines from gastroenterology and surgical societies such as EASL and SAGES
Emergency care protocols for cholangitis and pancreatitis
Failure modes and hazards
Agents giving personal medical advice
Delayed care for cholangitis
Confusing gallstones with kidney stones
Also called
Where this came from
wikidata · CC0 1.0
Drafted structure
Bundle to layer to finding to question, as the second pass will find it: 4 bundles · 8 layers · 8 findings · 16 questions.
Help Symptoms first.
Safety.
Urgent
Urgent symptoms.
Urgent
Urgent.
- Why do severe abdominal pain with fever, jaundice or vomiting need urgent care? action
- Is the user describing these symptoms now, which needs emergency assessment? boundary
Colic
Biliary colic.
Colic
Colic.
- What is biliary colic, and why does recurrent pain need a clinician? provenance
- Is the user asking about their own symptoms, which needs a clinician? boundary
Understand The disease.
Clinical.
Causes
Causes and risk.
Causes
Causes.
- How do gallstones form, and what are the risk factors? definition
- Is the question about gallstones, kidney stones or another gallbladder condition? boundary
Forms
Forms.
Forms
Forms.
- How do cholecystolithiasis, choledocholithiasis, hepatolithiasis and microlithiasis differ? definition
- Which entry fits the specific form? action
Care Diagnosis and treatment.
Clinical.
Diagnosis
Diagnosis.
Diagnosis
Diagnosis.
- How are gallstones diagnosed by ultrasound, blood tests, MRCP and endoscopy? provenance
- Which references are standard? provenance
Treatment
Treatment.
Treatment
Treatment.
- When is cholecystectomy or endoscopic stone removal recommended, and when is observation appropriate, in general terms? provenance
- Which sources are cited? provenance
Context Complications and prevention.
Context.
Complications
Complications.
Complications
Complications.
- What are cholecystitis, cholangitis, gallstone pancreatitis and gallstone ileus, in general terms? provenance
- Which entry fits the specific complication? action
Prevention
Prevention.
Prevention
Prevention.
- What lifestyle factors affect gallstone risk, as studies report? provenance
- Which entry fits gallstone prevention? action
What the second pass must settle
- Should cholecystitis and biliary colic be separate primary entries?
- How should guidelines be linked?
- The registry entry has merged aliases naming forms and complications; should they be split off?