cholecystitis Flashcards
what is cholecystitis?
inflammation of the gallbladder
most common type is?
biliary stasis
calculous vs acalculous?
calculous - biliary stasis is caused by gallstone obstructing the cystic duct
Acalculous-biliary stasis is caused by gallbladder dysfunction - ischemia of gallbladder
risk factors
cholelithiasis - hardened deposits of digestive fluids that can form in the gallbladder
obesity
diabetes
meds
complications
peritonitis
intestinal bacteria
symptoms of cholecystitis
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
symptoms of acute cholecystitis
nausea
vomiting
intolerance to fatty food
jaundice
anorexia
symptoms of chronic cholecystitis
on and off abdominal pain
heartburn
jaundice
vomiting
intolerance to fatty food
diagnosis?
history
blood test
ERCP
ultrasound
treatment?
iv fluids
pain medications
antibiotics
cholecystectomy
post of care for laparoscopic cholecystectomy
vitals signs
sims positions
monitor incisons site
02 if required
monitor bowel sounds and bladder function
discharge teaching
diet - high diet with fibre, fruits, and vegetables
low fatty and oily food
regular exercise
drink 8-10glass of water
role of bile?
bile aids in digestion of fat-soluble vitamins - a,d,e,k
bile is released from the gallbladder into the duodenum
bile contains bilirubin
risk factors of cholelithiasis?
being female
older age
native american or mexican american
pregnant
obesity
family history