Gallbladder Exam 2

Question 1

Cholelithiasis: Definition

Answer 1

Stones in the gallbladder

Question 2

Cholelithiasis: Etiology

Answer 2

Impaired metabolism of cholesterol, bilirubin, and bile acids

Question 3

3 types of cholelithiasis stones

Answer 3

Cholesterol (70%), pigmented, and mixed

Question 4

Choleithiasis: Risk Factors

Answer 4

-Obesity
-Female
-Middle class
-Oral contraception
-Rapid weight loss

-Indigenous Americans

-Genetic predisposition
-Pancreatic or ileal disease

Fare-Fat-40

Question 5

Choleithiasis Manifestations

Answer 5

-Usually asymptomatic

-Epigastric and right quadrant pain

-Intolerance to fatty foods and cabbage

-Billary colic

-Jaundice

Question 6

Choleithiasis: Vague Symptoms

Answer 6

Heartburn

Flatulence

Epigastric discomfort

Food intolerances (fats and cabbage)

Question 7

Biliary colic

Answer 7

Happens in choleithiasis and is very common to occur in 30 minutes to several hours after eating fatty meal

Question 8

More severe cholelithasis

Answer 8

Jaundice from the stone blocking the bile duct

Question 9

Severity of choleithisais depends on

Answer 9

Movement of stones

Obstruction

Question 10

Clinical manifestation: Jaundice

Answer 10

Bile cannot flow into duodenum

Question 11

Clinical manifestation: Dark amber urine and foams

Answer 11

Bilirubin backing up and getting into urine

Question 12

Clinical manifestation: Clay colored stools

Answer 12

Bilirubin does not reach small intestine to be converted into urobilinogen

Question 13

Clinical manifestation: Steatorrhea

Answer 13

No bile salts in duodenum, preventing fat digestion

Question 14

CM: Pruritus

Answer 14

Deposits of bile salts into skin tissue

Question 15

CM: Intolerance of fatty foods

Answer 15

No bile in small intestine to help with fat digestion

Question 16

CM: Bleeding tendencies

Answer 16

Decreased absorption of vitamin K

Question 17

Cholecystitis

Answer 17

Inflammation of gallbladder

Question 18

Most common cause of cholecystisis

Answer 18

Most often caused by a gallstone lodged in the cystic duct

Question 19

Cholecystitis: Pain

Answer 19

Similar to biliary colic or cholelithiasis issues

Question 20

Cholecystitis: Problem

Answer 20

Pressure against distended wall of the gallbladder leads to decreased blood flow

This lead to ischemia - necrosis - perforation

Question 21

Clinical manifestation of Cholecystitis

Answer 21

Fever
Leukocytosis
Rebound tenderness
guarding

Question 22

Cholecystitis: Lab values

Answer 22

Increased bilirubin and alk phos

Question 23

Pain control for Gallbladder probelms

Answer 23

ketorolac

Question 24

Gallbladder nausea and vomiting problems

Answer 24

Antiemetics

Question 25

Gallbladder problems: Drug for decrease secretion and stop smooth muscle spasms

Answer 25

Anticholinergics

Question 26

Drugs to dissolve stones

Answer 26

Bile acids (rarely used)