Gall bladder

Question 1

Location

Answer 1

Posterior aspect of the liver

Question 2

Function

Answer 2

Stores and concentrates bile in between meals

Question 3

Structure

Answer 3

Consists of a head and neck

- neck narrows to become the cystic duct

Question 4

How does bile flow in and out of the liver?

Answer 4

Via the cystic duct

Question 5

Blood supply

Answer 5

Cystic artery (branch of the right hepatic artery)

Question 6

GB pain

incl referred pain

Answer 6

Epigastric pain

Referred pain to right shoulder

Question 7

Cholecystectomy

Answer 7

Surgical removal of the GB

Carried out for symptomatic gallstones

Question 8

Management for GB pain (medication)

Answer 8

Urseodeoxycholic acid - for pts with unimpaired GB function
Analgesia - morphine
Relief of biliary spasm - Atropine, GTN

Question 9

What does bile do?

Answer 9

Participates in digestion and absorption of fats

Question 10

What happens to bile during a meal?

Answer 10

Chyme in duodenum stimulates GB to contract and bile is squeezed into the duodenum (via cystic duct and CBD)