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Gallstone
1.
Presented by :
H. Al-Buainain Supervised : Prof. Parashar PATHOGENESIS OF GALLSTONES
2.
3.
4.
Liver Lobule
5.
6.
7.
8.
Synthesis of Cholesterol
9.
10.
Bilirubin synthesis
11.
12.
13.
14.
Emulsification
15.
16.
ENTEROHEPATIC CIRCULATION
17.
18.
19.
20.
21.
22.
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.
26.
27.
THANK YOU
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