final cholelithiasis/cholecystitis

Question 1

cholelithiasis?

Answer 1

stones in the gallbladder

Question 2

cholecystitis

Answer 2

inflammation of the gallbladder

Question 3

incidence rates in men for cholelith.

Answer 3

lower in men than women
affects Asians and African americans more than whites
after age 50, gender difference decreases

Question 4

incidence rates in women for cholelith.

Answer 4

higher chance in women than men
pregnancy is highest risk factor
obesity increases risk

Question 5

complications of cholelithiasis

Answer 5

gangrenous cholecystitis, subphrenic abscess, pancreatitis, cholangitis (inflammation of biliary duct)

Question 6

clinical manifestations of cholelith

Answer 6

fever, pain, jaundice

Question 7

this is linked with prolonged immobility, fasting, parenteral nutrition, and diabetes

Answer 7

acalculus cholecystitis

Question 8

diagnostics for cholelith.:

Answer 8

ultrasonography, labs will reveal increased WBC, Alkaline/ALT/AST will be elevated

Question 9

what med can be given to treate pruritus?

Answer 9

cholestyramine, it binds bile salts to the intestine

Question 10

common problem for post-op cholycestectomy pt, and why?

Answer 10

referred pain radiating to shoulder due to accumulation of CO2

Question 11

how to treat the post-op complication of referred shoulder pain?

Answer 11

Sim’s position (left side, right knee flexed)

Question 12

diet for cholecystectomy pt

Answer 12

low-fat fooods: avoid foods that cause gas such as broccoli, green beans, whole milk, butter,