Cholecystitis Flashcards
What is Cholecystitis
inflammation of gallbladder
What is Calculous Cholecystitis?
Chemical irritation and inflammation from gallstones
that block bile duct, cystic duct, or gallbladder neck. causes bile to back into gallbladder and irritate wall of gallbladder.
What can calculous cc cause?
Ischemia & Infection -> Perforation–> Peritonitis
What is acalculous CC?
No inflammation or gallstones
- due to anatomic issues or flow issues
- not a lot of people have this
What are some important questions to ask with CC?
Getting a history, diet, asking about pain that is in RUA, or biliary colic, pain to right shoulder
What are some S/s of chronic CC?
Jaundice, clay-colored stool, dark urine, fatty stools, fever
Labs what is elevated?
Elevated: WBCs, ALP, ALT, LDH, Bilirubin, AMYlase & Lipase
abdominal xray is going to show what?
Stones
Ultrasound is best for
seeing the gallbladder
HIDA scan is best for
seeing bile flow
What is ERCP
Endoscopic retrograde cholengio- pancretography
-looking for sotnes in ducts
What is MRCP
Not invasive but uses MRI to look at the bile flow
Someone comes in complaining of severe abdominal pain what do you do?
CT, US, XR, monitor and assess for pain due to risk of perforation. If patient is not stable get them stabilize first.
What is the common surgery for CC
Cholecystectomy
- gallader is rem0ved
- avpid high- fat foods
What foods should these patients avoid?
Fatty
