chapter 44 part 1 vidlec Flashcards
located at the right part of the abdomen just between the liver; stores the bile
gallbladder
responsible for digestion of fats; fat soluble vitamins (ADEK)
bile
responsible for excretion of bilirubin through the stool for it to have color brownish color
bile
exocrine or endocrine
amylase, trypsin, lipase, secretin (digestive enzymes)
exocrine
exocrine or endocrine
insulin, glucagon, somatostatin
endocrine
these hormones stabilizes the glucose
insulin and glucagon
prevents/inhibits the release of pancreatic hormones
somatostatin
inflammation of the gallbladder
cholecystitis
Calculi, or gallstones, usually form in the gallbladder from the solid constituents of bile
cholelithiasis
blockage to the flow of bile
cholestasis
there is a gallstone in the bile duct
choledocholithiasis
intermittent right upper quadrant ‘pain caused by gallstones’ irritating the bile duct
biliary pain/colic pain
inflammation of the bile duct
cholangitis
there is a pus in the gallbladder
gallbladder empyema
there is a pus in the gallbladder
cholecystectomy
inserting a drain in the gallbladder
cholecystostomy
this stones is formed in sterile bile
black stones
this stones is formed in infected intrahepatic or extrahepatic ducts
brown stones
Form when increased levels of unconjugated bilirubin binds with calcium.
pigment stones
is pigment stones can be dissolved or should be done in surgery?
surgery
a normal constituent of bile, is insoluble in water
cholesterol
indicates pain in the gallbladder when the gallbladder is palpated during a breath
murphy’s sign
complications of gallbladder stones
necrosis
abscess
perforation
peritonitis
diagnostic procedure of choice; detects calculi in the gallbladder or a dilated common bile duct with 95% accuracy
ultrasonography
what drug is contraindicated in gallstones?
morphine sulfate
what are the bile acids used to dissolve small cholesterol stones?
ursodeoxycholic acid
chenodeoxycholic acid
Used in some centers for a small percentage of suitable patients (those with common bile duct stones who may not be surgical candidates), sometimes in combination with dissolution therapy
extracorporeal shockwave lithotripsy
It involves making an incision in the common duct, usually for removal of stones
choledochostomy