Cholelithiasis and Cholecystitis

Question 1

Stone formation in the gallbladder and accessory ducts

Answer 1

Cholelithiasis

Question 2

Stone formed at the common bile duct

Answer 2

Choledocholithiasis

Question 2

Diagnostic Tests

Answer 2

1. Ultrasonography
2. Endoscopic Retrograde Cholangiopancreatography
3. Cholangiogram
4. Cholecystography

Types of Cholecystography
1. Oral
2. IV

Question 2

Inflammation of the gallbladder

Answer 2

Cholecystitis

Question 3

Diagnostic procedure of choice. Accurate and can be used even if patient liver dysfunction and jaundice

95% stone detection

Answer 3

Ultrasonography

Question 4

Radiographic image of the bile ducts that is obtained by cholangiography

Answer 4

IV Cholangiogram

Question 4

Visualization of gallbladder, cystic duct, common hepatic duct, and common bile duct

Answer 4

Endoscopic Retrograde Cholangiopancreatography (ERCP)

Question 5

Done 10hrs after administration of contrast medium

Radiographic examination of the gallbladder

Answer 5

Oral Cholecystography

Question 6

Gallbladder imaging

Answer 6

Cholecystography

Question 7

Done 10 minutes after administration of contrast medium

Answer 7

IV Cholecystography

Question 8

To detect gallstones

Assess the ability of the gallbladder to fill, concentrate, and store a dyelike, iodine-based radiopaque contrast medium

Answer 8

Oral Cholecystography

Question 9

Drug of choice

Answer 9

Meperidine HCL

Question 10

What drug to avoid to administer?

Answer 10

Morphine

Question 11

What kind of diet?

Answer 11

Low fat diet

Question 12

Interventions for pruritus

Answer 12

Use baking soda or calamine containing lotions

Question 13

It is used to dissolve gallstones

Answer 13

Administration of bile salts such as Chenodeoxycholic acid or Ursodioxycholic acid

Question 14

Surgical Management

Answer 14

Cholecystectomy

Question 15

Purpose of T-Tube Insertion

Answer 15

To drain bile