Hepatobiliary Disease

Question 1

what can cause biliary stasis (3)

Answer 1

pregnancy, fasting, prolonged parenteral nutrition

Question 2

stone in the biliary tree that is trying to be expelled–causes a spasm

Answer 2

biliary colic

Question 3

s/s of biliary colic (4)

Answer 3

intense pain
tachycardia
pallor
diaphoresis

Question 4

s/s of biliary obstruction (5)

Answer 4

dark amber urine
jaundice
perforation
vitamin deficiency
clay colored stool

Question 5

stone stuck in biliary tree causing bilirubin to be unable to be expelled

Answer 5

biliary obstruction

Question 6

what is needed before a pt can under go IV cholangiography

Answer 6

IV access, NPO, well hydrated before & after

Question 7

ERCP can cause these 2 things

Answer 7

perforation

pancreatitis

Question 8

procedure that goes down the esophagus and uses dye to get a better look of the biliary tree and surrounding structures

Answer 8

ERCP

Question 9

what organ processes indirect bilirubin

Answer 9

the spleen

Question 10

what organ processes direct bilirubin

Answer 10

the liver

Question 11

bilirubin levels in someone with a biliary obstruction

Answer 11

indirect bili is normal

direct bili is elevated

Question 12

bentyl is a

Answer 12

anticholinergic

Question 13

diet for pt with gallstones

Answer 13

low fat and low cholesterol

Question 14

s/s of biliary perforation

Answer 14

sudden pain, tachycardia, hypotension if bleeding, hypertension if in pain & no bleeding