Gallbladder Flashcards Preview

253-Green Patho > Gallbladder > Flashcards

Flashcards in Gallbladder Deck (15):
1

What kind of disorders might the gallbladder be faced with?

(4)

Disorders can involve inflm, infection, stones and tumors

2

What is inflm of the gallbladder called?

Cholecystitis

3

What is the term for precipitates developing in the gallbladder?

Cholelithiasis

4

What 3 mechanisms often lead to precipitation of stones?

o Abnormal bile composition (ex Inc cholesterol, dec bile salts)
o Bille stasis -> precipitation
o Inflm debris -> nuclei for stone formation

5

What two offending agents are associated with development of inflm debris?

• E. coli and strep. Faucalis implicated

Mechanism unknown but they alter bile composition

6

Do genetics play a role

There is suggestion they have an influence but it remains unclear

7

When do gall stones start causing problems?

When they migrate into a duct

Potential for obstruction

8

3 types of Gall Stones

Incidence of each?

o Cholesterol stones (80%)
• Bile + inc cholesterol
o Pigment stones (20%)
• Bilirubin and Ca salts
o Mixed stones

9

Two key MNFTS

o Colic pain (intermittent and radiating)
o Nausea and vomiting (r/t to severe pain)

10

What could Gall stones MNFTS be misdiagnosed as

MI

11

Dx of Gall stones

o HX and Px
o Ultrasound, scans (CT, MRI…etc)


NOTE: Stones present may not mean it is the cause of pain... necessarily

12

Tx if no obstruction present

o Dissolving agents (eg ectigall)

+ pain meds...

13

Tx if there is an obstruction

Sx (eg retrograde endoscopy)

14

Tx in severe case

Remove gallbladder

15

Complications that may require tx?

cholecystitis (inflm), pancreatitis , perferoration