Gall Bladder Disorders (Online Lecture)

Question 1

cholecystitis

Answer 1

inflammation or infection of gallbladder (acute or chronic)

Question 2

cholelithiasis

Answer 2

stone formation

Question 3

cholecystectomy

Answer 3

surgical removal of gallbladder

Question 4

icterus

Answer 4

jaundice

Question 5

ERCP

Answer 5

endoscopic
retrograde
choleagnio
photography

Question 6

what is the most common cause of gallbladder disease

Answer 6

stones

Question 7

s/s of inflammation of gallbladder/pancreas/liver

Answer 7

inflamation
edema
strictures

Question 8

risk factors for gall stone formation

Answer 8

female
family hx
obesity
type 1 DM
aging
hyperlipidemia
cirrhosis
estrogen containing meds
pregnancy

Question 9

gall stones obstruct flow of the bile in the gall bladder and starts a chemical reaction and autolysis and edema occurs, blood feels in gallbladder become compressed causing

Answer 9

decrease blood supply
gangrene
rupture

Question 10

90% of the time inflammation of gallbladder is caused by gall stones, what can cause the other 10%

Answer 10

trauma
shock
dehydration
burns
torsion
multiple transfusions

Question 11

s/s of acute cholecystitis

Answer 11

pain
tenderness
rigidity of RUQ
- radiates to midsternal area and right shoulder
N/V
heart burn
elevated wbc
general maliase
temp elevation

Question 12

symptoms of acute cholecystitis can be triggered by what type of food

Answer 12

fattu

Question 13

what do we rule out before we think to diagnosis GI related issues

Answer 13

cardiac

Question 14

acute cholecystitis
- bowel sounds

Answer 14

may not hear them

Question 15

acute cholecystitis
- Murphys sign

Answer 15

palpate RUQ pain when holding breath

Question 16

acute cholecystitis
- rebound tenderness

Answer 16

release pressure = pain

Question 17

acute cholecystitis
- urine color

Answer 17

dark because releasing bile pigments

Question 18

acute cholecystitis
- pain management

Answer 18

morhpine

Question 19

acute cholecystitis
- elderly

Answer 19

atypical
- septic shock
- high fever
- chills
- low back pain
- tenderness

Question 20

acute cholecystitis
- CBC

Answer 20

elevated and shift to left

Question 21

acute cholecystitis
- serum bilirubin

Answer 21

would be elevated

Question 22

acute cholecystitis
- electrolytes

Answer 22

may be abnormal due to vomiting

Question 23

acute cholecystitis
- alkaline phosphatase

Answer 23

normally elevated

Question 24

acute cholecystitis
- serum amylase and lipase

Answer 24

rule out pancreatitis

Question 25

acute cholecystitis - ultrasound

Answer 25

quick cheap low risk able to see tumor

Question 26

acute cholecystitis - medical interventions - decrease inflammation

Answer 26

IV antibioitcs rest

Question 27

acute cholecystitis - medical management - NPO

Answer 27

low fat diet after recovery

Question 28

acute cholecystitis - medical management - pain

Answer 28

opioid therapy

Question 29

acute cholecystitis - NG

Answer 29

suction to help N/V

Question 30

acute cholecystitis - surgical therapy

Answer 30

laparoscopic cholecystectomy - gold standard - fast recovery - less severe post op pain

Question 31

post of laparoscopic cholecystectomy - other person

Answer 31

need someone home for 24-48 hours

Question 32

post of laparoscopic cholecystectomy - teaching of complications (call or go to er)

Answer 32

rigid abdomen N/V anorexia pain abdominal distention fever

Question 33

post of laparoscopic cholecystectomy - teaching shoulder pain

Answer 33

very common do not call doctor treatment is increase activity and heating pad secondary to gas used and gas helps surgeon visualize the organs

Question 34

open cholecystectomy - pain control

Answer 34

need this to do breathing and mobility

Question 35

open cholecystectomy prevent respiratory complications

Answer 35

can't cough and deep breath due to midline incision so we need pain control

Question 36

open cholecystectomy - gradual reintroduction of food and fluids

Answer 36

when they have bowel sounds and are passing gas

Question 37

open cholecystectomy - due to pain, deep breathing, and lack of mobility what are they at risk for

Answer 37

DVT and PE