Phys Vivas · gastrointestinal
Gallstone Disease AND Biliary Pathology — Viva Defence
DCE viva defence for Gallstone Disease AND Biliary Pathology.
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Target exams
Gallstone Disease AND Biliary Pathology Viva
Long Case Viva Defence
Opening statement
"This patient presents with a problem best framed as Gallstone Disease AND Biliary Pathology. My priorities are to identify red flags, confirm the mechanism with purposeful investigations, start a sequenced management plan, and integrate multimorbidity and follow-up." [1] [2]
Examiner questions
Q1: "What makes this urgent?" [1]
"I look for threats to airway, perfusion, neurology, metabolism, infection or bleeding, and I escalate those before elective work-up." [1] [2]
Q2: "What is your first investigation package?" [2]
"I order tests that change management now, not a scattergun panel." [1] [2]
Q3: "Walk me through treatment." [1]
"Stabilise, treat the mechanism, prevent complications, and plan monitoring." [1] [2] [3]
Q4: "What is the classic trap?" [2]
"Treating a label without confirming the discriminating mechanism, or delaying escalation." [1] [2]
Short case
Counsel the patient on the plan, risks and warning symptoms in plain language. [1] [2]
References
- [1]Oyebamiji T, Schmitz R, Gebran A, Hendawy BS, et al. Focal Nodular Hyperplasia Presenting With Biliary Obstruction and Intrahepatic Gallstones: A Case Report and Literature Review Cureus, 2026.PMID 42388947
- [2]Golse N, Boulard P, Ciacio O, Robin F, et al. Gallstones: Physiopathology and treatment of cholelithiasis (part 1) J Visc Surg, 2026.PMID 42203606
- [3]Robin-Lersundi A, Abella Alvarez A, San Miguel Mendez C, Moreno Elalo-Olaso A, et al. Multidisciplinary Approach to Treating Severe Acute Pancreatitis in a Low-Volume Hospital World J Surg, 2019.PMID 31440777
- [4]Tazuma S, Nakanuma Y Clinical features of hepatolithiasis: analyses of multicenter-based surveys in Japan Lipids Health Dis, 2015.PMID 26475606
- [5]ASGE Standards of Practice Committee, Chathadi KV, Chandrasekhara V, Acosta RD, et al. The role of ERCP in benign diseases of the biliary tract Gastrointest Endosc, 2015.PMID 25665931
- [6]Doan HN, Chang MC Comparative Effectiveness of Unstable Versus Stable Resistance Training on Lower Limb Strength, Mobility, and Fear of Falling in Older Adults: A Systematic Review and Meta-analysis of Randomized Controlled Trials Am J Phys Med Rehabil, 2026.PMID 42468010
- [7]Liu HW, Tsai TL Virtual Reality-assisted Physiotherapeutic Training for Patients With Knee Osteoarthritis: A Systematic Review and Meta-analysis Am J Phys Med Rehabil, 2026.PMID 42468005
- [8]Osborne AK, Brown RD, Sillence E Effects of Social Media Narratives on Affective and Behavioral Responses to Menopause Content: Randomized Online Experimental Study JMIR Form Res, 2026.PMID 42467962