Exam 2 - Gallbladder Diseases Flashcards
(29 cards)
Cholelithiasis def
stones in the gallbladder
Cholelithiasis etiology
impaired metabolism of cholesterol, bilirubin and bile acids
three types of stones
cholesterol, pigmented and mixed
risk factors - 8
obesity
female
middle ages (40)
use of oral contraception
rapid weight loss
indigenous American
genetic predisposition
pancreatic or ileal disease
Cholelithiasis manifestations
usually asymptomatic
epigastric and right quadrant pain
intolerance to fatty foods
jaundice
why epigastric and right quadrant pain
lodged in cystic or common bile duct
vague symptoms of Cholelithiasis 4
heartburn, flatulence, epigastric discomfort, food intolerances (fat and cabbage)
what is biliary colic
intermittent pain that radiates to the back
occurs 30 minutes to several hours after eating fatty meal
severity of Cholelithiasis depends on
movement of stones
obstruction
why jaundice
bile cannot flow into duodenum
why dark amber urine that foams when shaken
soluble bilirubin in urine
why clay colored stools
bilirubin does not reach small intestine to be converted into urobilinogen
why steatorrhea
no bile salts in duodenum preventing fat digestion
why pruritis
deposit of bile salts into skin tissues
why intolerance to fatty foods
no bile in small intestine to help with fat digestion
why bleeding tendencies
decreased absorption of vitamin K (can’t clot without it)
Cholecystitis
inflammation of gallbladder
Cholecystitis can be
acute or chronic
Cholecystitis cause
most often caused by gallstone lodged in the cystic duct
Cholecystitis leads
to distended and inflamed gallbladder
Cholecystitis pain
similar to biliary colic or cholelithiasis issues
pressure against distended wall of gallbladder leads to
decreased blood flow, ischemia, necrosis and perforation
Cholecystitis common to see
fever, leukocytosis, rebound tenderness, and guarding
Cholecystitis lab values
increased bilirubin and alk phos
