cholecystitis Flashcards

1
Q

what is cholecystitis?

A

inflammation of the gallbladder

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2
Q

most common type is?

A

biliary stasis

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3
Q

calculous vs acalculous?

A

calculous - biliary stasis is caused by gallstone obstructing the cystic duct
Acalculous-biliary stasis is caused by gallbladder dysfunction - ischemia of gallbladder

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4
Q

risk factors

A

cholelithiasis - hardened deposits of digestive fluids that can form in the gallbladder
obesity
diabetes
meds

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5
Q

complications

A

peritonitis
intestinal bacteria

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6
Q

symptoms of cholecystitis

A

Boas sign - immediate pain upon touching the right upper quadrant
positive Murphy sign - patient take a deep breath and holds it and when palpating the gallbladder area - pain is observed
nausea
vomiting
intolerance to fatty food
jaundice

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7
Q

symptoms of acute cholecystitis

A

nausea
vomiting
intolerance to fatty food
jaundice
anorexia

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8
Q

symptoms of chronic cholecystitis

A

on and off abdominal pain
heartburn
jaundice
vomiting
intolerance to fatty food

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9
Q

diagnosis?

A

history
blood test
ERCP
ultrasound

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10
Q

treatment?

A

iv fluids
pain medications
antibiotics
cholecystectomy

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11
Q

post of care for laparoscopic cholecystectomy

A

vitals signs
sims positions
monitor incisons site
02 if required
monitor bowel sounds and bladder function

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12
Q

discharge teaching

A

diet - high diet with fibre, fruits, and vegetables
low fatty and oily food
regular exercise
drink 8-10glass of water

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13
Q

role of bile?

A

bile aids in digestion of fat-soluble vitamins - a,d,e,k
bile is released from the gallbladder into the duodenum
bile contains bilirubin

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14
Q

risk factors of cholelithiasis?

A

being female
older age
native american or mexican american
pregnant
obesity
family history

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15
Q
A
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