Cholelithiasis

Question 1

1. Occurs when stones form in the bile. Form in the gallbladder as a result of changes in the normal components of bile.
2. Other name of this condition
3. Classified according to composition
4. Etiologic and Risk Factor
5. Pathogenesis

Answer 1

1. Cholelithiasis
2. Gallstone Disease
3. – Cholesterol stones (80%) – Bilirubin salts (20%)
4. ■ Obesity
   ■ Women > men
   ■ People who receive total parenteral nutrition (TPN)
   ■ Pregnancy
   5.
   ■Caused by changes in the composition of bile
   ■ When solids become supersaturated in the gallbladder

Question 2

Formed from cholesterol supersaturation in bile

Answer 2

Soft , yellow green stones

Question 3

High concentrations of calcium bilirubinate, carbonate, and phosphate

Answer 3

Small, brittle, black stones

Question 4

Formed from calcium bilirubinate and bacterial cell bodies secondary to a bacterial
infection

Answer 4

Soft, mushy, brown stones

Question 5

Complications of cholelithiasis

Answer 5

■ Choledocholithiasis – Calculi in the common
bile duct
– Occurs in 5% to 10% of
persons with gallstones