Hepatobiliary Review: Bile Ducts, Pancreatitis and Ascites | Part 2 | 肝膽胰 | OET Music

Dr Allison Lu · Pip & Barnaby · Medical English

本頁提供本曲完整英文歌詞與影片搭配的繁中醫學提示。歌詞保留原演唱文字；遇到過度簡化或舊門檻，請搭配下方提示與原始資料閱讀。這是概念學習材料，不替代個別醫療評估。

Lyrics · 完整歌詞

The central distinctions can be recalled as follows.

All gallstone disease is named by where the stone lodges:
cystic duct cholecystitis, common duct jaundice, infected duct cholangitis, ampulla pancreatitis.
Is it pain, fever and jaundice with shock and confusion?
Then Reynolds' pentad demands antibiotics, fluid and endoscopic drainage within hours.
On pancreatitis, fluid comes first;
antibiotics wait for infected necrosis and ERCP waits for cholangitis
or persistent obstruction.
Luminal pressure in the portal vein drives every complication of cirrhosis,
and only a non-selective beta-blocker lowers it for prophylaxis.


All gallstone disease is named by where the stone lodges:
cystic duct cholecystitis, common duct jaundice, infected duct cholangitis, ampulla pancreatitis.
Is it pain, fever and jaundice with shock and confusion?
Then Reynolds' pentad demands antibiotics, fluid and endoscopic drainage within hours.
On pancreatitis, fluid comes first;
antibiotics wait for infected necrosis and ERCP waits for cholangitis
or persistent obstruction.
Luminal pressure in the portal vein drives every complication of cirrhosis,
and only a non-selective beta-blocker lowers it for prophylaxis.

Medical Notes · 醫學學習提示

  1. 重點複習：結石位置、感染引流、胰臟炎與門脈高壓
  2. 結石位置影響表現，但不能單憑位置決定全部診斷
  3. 膽囊管、總膽管及壺腹部阻塞可造成不同併發症
  4. 痛、燒、黃疸合併休克或意識改變，須立即處理
  5. 抗生素與復甦同步進行；重症需緊急引流，勿等五聯俱全
  6. 胰臟炎宜適度輸液並反覆評估，避免液體過量
  7. 不常規預防性用抗生素；壞死感染或其他感染須治療
  8. 合併膽管炎或持續膽道阻塞時，評估早期 ERCP
  9. 門脈高壓是重要機轉；肝衰竭等併發症並非全由它造成
  10. 適合者用非選擇性 β 阻斷劑；依風險也可選內視鏡結紮

References