gall bladder mod 4

Question 1

clinical manifestations bile

Answer 1

Question 2

clinical manifestations cholecystitis

Answer 2

Similar to cholelithiasis: pain RUQ , radiate to shoulder

Systemic sx:
Fever, N/V, restlessness, diaphoresis

Laboratory Values
-congegated Bilirubin, Liver enzymes (ALT, AST, WBC
- increased Amylase (pancreatic enzyme released in common bile duct
Peritoneal involvement?

Question 3

gall bladder pharm

Answer 3

ketorolac - non steroid

anti-cholinergics - have drying effects and decrease vasospasms

Question 4

what are gall stones primarily made of

Answer 4

cholesterol

Question 5

clinical manifestations cholelithiasis

Answer 5

Sometimes silent

Severity depends on:

• Movement of stones
• Obstruction

-Biliary colic”
Steady, severe pain (~1 hr)
RUQ, may radiate to right shoulder

When does it occur?
Accompanying symptoms?
- increased HR, diaphoresis
may be put on tele bc mimics MI/cardiac issues