Cholecystitis

Question 1

What are the pertinent organs concerning cholecystitis?

Answer 1

Biliary tract
gallbladder
cystic duct
common bile duct
liver
pancreas
small intestine

Question 2

How does bile flow?

Answer 2

Made in liver
Stored in Gallbladder
Leaves gallbladder through cystic duct
flows from cystic duct to common bile duct
flows from common bile duct into duodenum
resorbed and recycled in the terminal ileum

Question 3

What is bile composed of?

Answer 3

Bile salts and cholesterol and bilirubin

bile is useful for the emulsification of fats

Question 4

What is the pathophysiology of cholecystitis?

Answer 4

Inflammtion of the gall bladder
associated with gallstone in over 90 percent of cases
the other 10 percent is caused by acalculous cholecystitis
gallstone obstructs the cystic duct and inflammation develops behind the obstruction

Question 5

What are the six F’s of cholecystitis?

Answer 5

Fat, fertile, 40, female, flatulence, fever

Question 6

How do you treat cholecystitis?

Answer 6

Surgical treatment is the mainstay
Ertapenem and ceftriazone for mild to moderate
for severe piperacillin-tazobactam