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

surgery: 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
what drug is contraindicated in gallstones?
morphine sulfate
26
what are the bile acids used to dissolve small cholesterol stones?
ursodeoxycholic acid chenodeoxycholic acid
27
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
28
It involves making an incision in the common duct, usually for removal of stones
choledochostomy