Medical treatment for gall bladder stone is amenable for :
Answer is A (Size of stone less than 15mm) Medical therapy for gall bladder stone is amenable for stones < 15 mm (preferably Prerequisites for medical therapy : Gall bladder should he functioning Stones should be radiolucent Size should be small preferably < 15 mm Q -Harrison 14'h (<10n/in-Harrison 16th) Stones should be 'cholesterol stones' only Obvious by thier mechanism of action)Q (Newer edition of Harrison has mentioned the size of stone to be preferably < 10 mm rather than < 15 mm but we will go with same answer because the question was framed in older times). Medical therapy for Gall stone dissolution consists of administration of : UDCA (Ursodeoxycholic acid)Q CDCA (Choledeoxycholic acid)Q Mechanism of action: Inhibit HMG-CoA reductase activityQ, which in turn results in decreased hepatic cholesterol synthesis. Allows dispersion of 'cholesterol' from stones by physicochemical means.
Stones less than 15 mm in size
Radioopaque stone
Calcium bilirubinate oxalate stone
Nonfunctioning stones associated with gall bladder