GI - PowerPoint/5 Flashcards
gallstones cause an intolerance to
fatty foods
gallstones associated with chronic liver disease and hemolytic disease
black
pigmented brown gallstones are formed from
calcium bilirubinate and fatty acid soaps that bind with calcium
functional renal failure that develops as a complication of advanced liver disease
hepatorenal syndrome
cholesterol gallstones a formed from
bile that is supersaturated with cholesterol produced by the liver
most common cause of gallbladder problems
obstruction or inflammation (cholecystitis)
asterixis
flapping tremor of the hands
charcot’s triad
- jaundice
- ruq pain
- fever
cholecystitis is almost always caused by
a gallstone lodged in the cystic duct
inflammation of gallbladder
cholecystitis
fever and leukocytosis are sx of
cholecystitis
confusion, disorientation to time and space, slow speech
late sx of hepatic encephalopathy
gallstone formation
cholelithiasis
charcot’s triad are sx of
acute cholangitis
black gallstones are composed of
2
- calcium bilirubinate
2. mucin glycoproteins
cholecystitis manifestations include
4
- fever
- leukocytosis
- rebound tenderness
- abdominal muscle guarding
gallstone sx
often asymptomatic or vague
rebound tenderness and abdominal muscle guarding are sx of
cholecystitis
oliguria is to
hepatorenal syndrome
asterixis is a sx of
hepatic encephalopathy
hepatic encephalopathy
cells in the NS are vulnerable to neurotoxins absorbed from the GI tract that, because of liver dysfunction, circulate to the brain
hepatic encephalopathy later symptoms
8
- confusion
- disorientation
- flapping tremor of hands (asterixis)
- slow speech
- bradykinsia
- stupor
- convulsions
- coma
gallstones pain region
2
- epigastric
2. right hypochondrium pain
hepatorenal syndrome manifestations include
2
- oliguria
2. complications of advanced liver disease
formed from calcium bilirubinate and fatty acid soaps that bind with calcium
pigmented brown gallstones
gallstone types
3
- cholesterol
- pigmented brown
- black
cholecystitis
inflammation of gallbladder
acute cholangitis
bacterial infection of the biliary tract as a result of obstruction
composed of calcium bilirubinate with mucin glycoproteins
black gallstones
cholecystitis pain is similar to that caused by
gallstones
what disease are a risk factor for cholelithiasis
3
- gallbladder
- pancreas
- ileal
subtle changes in personality, memory loss, and sleep disturbances
early sx of hepatic encephalopathy
formed from bile that is supersaturated with cholesterol produced by the liver
cholesterol gallstones
hepatic encephalopathy early symptoms
6
- subtle change in personality
- memory loss
- irritability
- disinhibition
- lethargy
- sleep disturbances
hepatorenal syndrome
functional renal failure that develops as a complication of advanced liver disease
formed from impaired metabolism of cholesterol, bilirubin, and bile acids
gallstones
bacterial infection of the biliary tract as a result of obstruction
acute cholangitis
gallstones are formed from
impaired metabolism of cholesterol, bilirubin, and bile acids
hepatic encephalopathy is a ____ disorder
liver
gallstone types depend on
chemical composition
cholelithiasis
gallstone formation
black gallstones are associated with
2
- chronic liver disease
2. hemolytic disease
cholelithiasis risks include
6
- obesity
- middle age
- female
- oral contraceptives
- rapid weight loss
- native american
almost always caused by a gallstone lodged in the cystic duct
cholecystitis