Other Flashcards
management for cholecystitis?
Assess need for resuscitation (ABC), avoid food, just have clear fluids. IV fluids, analgesia, antibiotics, operative (laparoscopic cholecystectomy to remove the inflamed gallbladder).
complications for cholecystitis?
Empyema, choleystoduodenal fistula, asecnding cholangitis, gallbladder carcinoma
Empyema?
collection of pus in the gallbladder that needs draining.
Cholecystoduodenal fistula?
allows bowel air into the gallbladder and allowing gallstones into the bowel.
Ascending cholangitis
Charcots triad (RUQ pain, jaundice, fever with rigors). Inflammation of the CBD because of an infected stone in the CBD or due to spread from an infected gallbladder.
Management for ascending cholangitis?
Surgical emergency that carries 10% mortality. Blood cultures – identify infective bacteria. Antibiotics and ERCP drainage.
Biliary colic?
gallbladder attempts to contract against an obstruction but isn’t yet inflamed or infected.
Cholecystitis?
inflammation of the gallbladder
Ascending cholangitis?
usually a complication of stones in the CBD, they block it casinf jaundice, but can become infected by gut bacteria and this can spread the liver causing charcots triad. Ascending cholangitis may also occur if the CBD is blocked by a stricture or a tumour
Bile?
water, fat, bile salts (solubilize the fats and also the fat soluble vitimins) conjugated bilirubin.
Bile pigment stones?
bile pigments are haemoglobin breakdown products and thus patients with haemolytic anaemias are predisposed to these
Cholesterol stones?
fair fat fertile female fort
CCK?
released from the duodenum in response to fatty foods, which stimulates the secretion of digestive enzymes from pancreatic acinar cells and stimulates the contraction of the gallbladder and relaxation of the sphincter of oddi. This gallbladder contraction can exacerbate bilaiary colic and chronic cholecystitis
