exam 1: Gall bladder disorders

Question 1

normal physiology

Answer 1

fat intake-> release of cholecystokinin-> gall bladder contracts and sphincter of Odii relaxes-> bile into duodemum-> fat metabolized

Question 2

gall bladder’spurpose

Answer 2

store and concentrate bile

Question 3

cholelithiasis

Answer 3

gallstone formation in gallbladder

Question 4

risk factors for cholelithiasis

Answer 4

1. sedentary life
2. obesity
3. increased fat diet over years

Question 5

path chain of cholelithiasis

Answer 5

increased cholesterol in bile-> cholesterol crystals aggregate->stone growth

Question 6

clinical mani of cholelithiasis

Answer 6

1. abdominal pain-RUQ (biliary colic)
2. jaundice if stone is in CBD
3. heart burn/indigestion/flatulance
4. intolerance of fatty foods

Question 7

diagnosis of cholelithiasis

Answer 7

history and physical exam
ultrasound
endoscopic retrograde cholangiopancreatography

Question 8

cholecystitis

Answer 8

inflammation of the gallbladder wall or cystic duct

Question 9

etiology of cholecystitis

Answer 9

usually gallstone obstruction of cystic duct or CBD

Question 10

patho of cholecystisis

Answer 10

obstruction causes the gall bladder to become distended and inflamed due to increased pressure and ischemia

Question 11

clinical mani of cholecystitis

Answer 11

pain RUQ
fever
increased WBC
abdominal guarding (increased pain with palpation– Murphy’s sign)