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Gallstone
1.
Presented by :
H. Al-Buainain Supervised : Prof. Parashar PATHOGENESIS OF GALLSTONES
2.
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Liver Lobule
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Synthesis of Cholesterol
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Bilirubin synthesis
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Emulsification
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ENTEROHEPATIC CIRCULATION
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Risk factors Gallstones
Formation
23.
24.
PIGMENTED GALLSTONES -
Calcium bilirubinate - Ca Soap - Bacteria has role in the synthesis - > in Asia - Mainly at bile duct -Periumpullary duodenal diverticula -Excess Bilirubin - > in : -Elderly Pt. - Chronic haemolysis - Alcoholic
25.
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THANK YOU
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