Cholecystitis Flashcards
Define cholecystitis
* Acute inflammation of the __ associated with __, __ and __
* Obstruction of the __ duct occurs in almost all cases, suggesting that s__ of __ in the gallbladder is important in the pathogenesis of the disease.
* __ and __
levels may be elevated in cholecystitis or with common bile duct (CBD) obstruction
* Amylase may also be mildly elevated in cholecystitis
*Alkaline phosphatase level may be elevated (25% of patients with cholecystitis)
- Acute inflammation of the gallbladder associated with abdominal pain, leukocytosis, and fever
- Obstruction of the cystic duct occurs in almost all cases, suggesting
that stasis of bile in the gallbladder is important in the pathogenesis of the disease. - Alanine aminotransferase (ALT) and aspartate aminotransferase (AST)
levels may be elevated in cholecystitis or with common bile duct (CBD) obstruction - Amylase may also be mildly elevated in cholecystitis
*Alkaline phosphatase level may be elevated (25% of patients with cholecystitis)
Shamaya is a 46-year-old housewife who has been noted to have gallstones on ultrasonography. She
presents with two days of severe right upper abdominal pain radiating to the left upper quadrant.
She also is febrile with a temperature of 38 degrees Celsius. Acute Cholecystitis is being considered.
To support Shamaya’s diagnosis of Acute Cholecystitis, what is the MOST APPROPRIATE question about the abdominal pain should the nurse ask?
A. “Is the pain accompanied by a tingling sensation?”
B. “Does the pain become more intense at night?”
C. “Have you previously noted whether the pain is affected by your meals?”
D. “Does either a heat pad or a cold compress relieve the pain?”
C
