chapter 44 part 1 vidlec Flashcards

1
Q

located at the right part of the abdomen just between the liver; stores the bile

A

gallbladder

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2
Q

responsible for digestion of fats; fat soluble vitamins (ADEK)

A

bile

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3
Q

responsible for excretion of bilirubin through the stool for it to have color brownish color

A

bile

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4
Q

exocrine or endocrine

amylase, trypsin, lipase, secretin (digestive enzymes)

A

exocrine

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5
Q

exocrine or endocrine

insulin, glucagon, somatostatin

A

endocrine

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6
Q

these hormones stabilizes the glucose

A

insulin and glucagon

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7
Q

prevents/inhibits the release of pancreatic hormones

A

somatostatin

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8
Q

inflammation of the gallbladder

A

cholecystitis

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9
Q

Calculi, or gallstones, usually form in the gallbladder from the solid constituents of bile

A

cholelithiasis

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10
Q

blockage to the flow of bile

A

cholestasis

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11
Q

there is a gallstone in the bile duct

A

choledocholithiasis

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12
Q

intermittent right upper quadrant ‘pain caused by gallstones’ irritating the bile duct

A

biliary pain/colic pain

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13
Q

inflammation of the bile duct

A

cholangitis

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14
Q

there is a pus in the gallbladder

A

gallbladder empyema

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15
Q

there is a pus in the gallbladder

A

cholecystectomy

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16
Q

inserting a drain in the gallbladder

A

cholecystostomy

17
Q

this stones is formed in sterile bile

A

black stones

18
Q

this stones is formed in infected intrahepatic or extrahepatic ducts

A

brown stones

19
Q

Form when increased levels of unconjugated bilirubin binds with calcium.

A

pigment stones

20
Q

is pigment stones can be dissolved or should be done in surgery?

21
Q

a normal constituent of bile, is insoluble in water

A

cholesterol

22
Q

indicates pain in the gallbladder when the gallbladder is palpated during a breath

A

murphy’s sign

23
Q

complications of gallbladder stones

A

necrosis
abscess
perforation
peritonitis

24
Q

diagnostic procedure of choice; detects calculi in the gallbladder or a dilated common bile duct with 95% accuracy

A

ultrasonography

25
Q

what drug is contraindicated in gallstones?

A

morphine sulfate

26
Q

what are the bile acids used to dissolve small cholesterol stones?

A

ursodeoxycholic acid
chenodeoxycholic acid

27
Q

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

A

extracorporeal shockwave lithotripsy

28
Q

It involves making an incision in the common duct, usually for removal of stones

A

choledochostomy