FINALS EXAM: Choledolithiasis Flashcards
also known as bile duct stones or gallstones in the bile
duct, involves the presence of a gallstone within the common bile duct.
Choledocholithiasis
involves the presence of gallstones, which are concretions that form in the biliary tract, usually in the gallbladder.
Cholelithiasis
Sluggish flow of bile can lead to supersaturation and
precipitation of bile constituents.
Bile Stasis
occurs when stones form directly within the
bile duct itself
These stones form directly within the bile duct
Primary Choledocholithiasis:
particularly with parasites such as
Clonorchis sinensis (common in East Asia), can lead to
inflammation and changes in bile composition, promoting
stone formation
Chronic infections
The stones are typically brown pigment stones and
may be associated with
bile duct strictures, biliary cirrhosis, or chronic
biliary infection.
This more common type involves stones that form in the
gallbladder and migrate to the common bile duct.
Secondary Choledocholithiasis
Most stones in choledocholithiasis start as gallstones.
These are typically cholesterol stones formed by the
precipitation of cholesterol due to supersaturated bile.
Gallbladder Stones
Signs of Choledocholithiasis
JDPP
Jaundice
Dark Urine
Pale stools
Pruritus
Symptoms of Choledocholithiasis
BFN
Biliary Colic
Fever and Chills
N/V
Nursing Management of Choledo
pain level, signs of jaundice,
changes in urine and stool color, fever,
Initial Assessment and Stabilization: Choledo
Blood Tests
- Liver function tests, complete blood count, and markers of
inflammation (like C-reactive protein) t
usually the first diagnostic tool used. for choledo
UTZ
The most
common procedure used to remove bile duct stones.
ERCP (Endoscopic Retrograde Cholangiopancreatography):
If gallstones in the gallbladder are the source of the bile duct
stones, removal of the gallbladder might be recommended to
prevent recurrence.
Laparoscopic Cholecystectomy
