GI - PowerPoint/5 Flashcards

1
Q

gallstones cause an intolerance to

A

fatty foods

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2
Q

gallstones associated with chronic liver disease and hemolytic disease

A

black

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3
Q

pigmented brown gallstones are formed from

A

calcium bilirubinate and fatty acid soaps that bind with calcium

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4
Q

functional renal failure that develops as a complication of advanced liver disease

A

hepatorenal syndrome

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5
Q

cholesterol gallstones a formed from

A

bile that is supersaturated with cholesterol produced by the liver

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6
Q

most common cause of gallbladder problems

A

obstruction or inflammation (cholecystitis)

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7
Q

asterixis

A

flapping tremor of the hands

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8
Q

charcot’s triad

A
  1. jaundice
  2. ruq pain
  3. fever
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9
Q

cholecystitis is almost always caused by

A

a gallstone lodged in the cystic duct

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10
Q

inflammation of gallbladder

A

cholecystitis

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11
Q

fever and leukocytosis are sx of

A

cholecystitis

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12
Q

confusion, disorientation to time and space, slow speech

A

late sx of hepatic encephalopathy

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13
Q

gallstone formation

A

cholelithiasis

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14
Q

charcot’s triad are sx of

A

acute cholangitis

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15
Q

black gallstones are composed of

2

A
  1. calcium bilirubinate

2. mucin glycoproteins

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16
Q

cholecystitis manifestations include

4

A
  1. fever
  2. leukocytosis
  3. rebound tenderness
  4. abdominal muscle guarding
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17
Q

gallstone sx

A

often asymptomatic or vague

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18
Q

rebound tenderness and abdominal muscle guarding are sx of

A

cholecystitis

19
Q

oliguria is to

A

hepatorenal syndrome

20
Q

asterixis is a sx of

A

hepatic encephalopathy

21
Q

hepatic encephalopathy

A

cells in the NS are vulnerable to neurotoxins absorbed from the GI tract that, because of liver dysfunction, circulate to the brain

22
Q

hepatic encephalopathy later symptoms

8

A
  1. confusion
  2. disorientation
  3. flapping tremor of hands (asterixis)
  4. slow speech
  5. bradykinsia
  6. stupor
  7. convulsions
  8. coma
23
Q

gallstones pain region

2

A
  1. epigastric

2. right hypochondrium pain

24
Q

hepatorenal syndrome manifestations include

2

A
  1. oliguria

2. complications of advanced liver disease

25
Q

formed from calcium bilirubinate and fatty acid soaps that bind with calcium

A

pigmented brown gallstones

26
Q

gallstone types

3

A
  1. cholesterol
  2. pigmented brown
  3. black
27
Q

cholecystitis

A

inflammation of gallbladder

28
Q

acute cholangitis

A

bacterial infection of the biliary tract as a result of obstruction

29
Q

composed of calcium bilirubinate with mucin glycoproteins

A

black gallstones

30
Q

cholecystitis pain is similar to that caused by

A

gallstones

31
Q

what disease are a risk factor for cholelithiasis

3

A
  1. gallbladder
  2. pancreas
  3. ileal
32
Q

subtle changes in personality, memory loss, and sleep disturbances

A

early sx of hepatic encephalopathy

33
Q

formed from bile that is supersaturated with cholesterol produced by the liver

A

cholesterol gallstones

34
Q

hepatic encephalopathy early symptoms

6

A
  1. subtle change in personality
  2. memory loss
  3. irritability
  4. disinhibition
  5. lethargy
  6. sleep disturbances
35
Q

hepatorenal syndrome

A

functional renal failure that develops as a complication of advanced liver disease

36
Q

formed from impaired metabolism of cholesterol, bilirubin, and bile acids

A

gallstones

37
Q

bacterial infection of the biliary tract as a result of obstruction

A

acute cholangitis

38
Q

gallstones are formed from

A

impaired metabolism of cholesterol, bilirubin, and bile acids

39
Q

hepatic encephalopathy is a ____ disorder

A

liver

40
Q

gallstone types depend on

A

chemical composition

41
Q

cholelithiasis

A

gallstone formation

42
Q

black gallstones are associated with

2

A
  1. chronic liver disease

2. hemolytic disease

43
Q

cholelithiasis risks include

6

A
  1. obesity
  2. middle age
  3. female
  4. oral contraceptives
  5. rapid weight loss
  6. native american
44
Q

almost always caused by a gallstone lodged in the cystic duct

A

cholecystitis