problems with gallbladder Flashcards
what is cholelithiasis
stones in the goal bladder
risk factors of cholelithiasis
female, age over 40, estrogen, sedentary lifestyle, obesity, diet high in cholesterol and fat, family history
where does bile come from and where is it stored
comes from liver stored in gallbladder
what is the function of bile
helps digest lipids and transport waste products
cholelithiasis patho
bile stasis (sitting there not moving) –> super saturated with cholesterol –> precipitation
stones remain in the gallbladder or migrate through the ducts
clinical manifestations of cholelithiasis
can be silent
biliary colic - steady, severe pain ~1hr - right upper quadrant, may radiate to right shoulder
tachycardia, diaphoretic, epigastric pain
when will CM for cholelithiasis usually occur
3-6 hrs after consuming fatty food
why might someone with gallstone manifestations also get a cardiac assessment
because symptoms can also be associated with MI
obstructed bile flow clinical manifestations
jaundice
dark amber urine
clay colored stools
steatorrhea (increased fat in stools)
pruritus
intolerance to fatty foods
bleeding tendencies
what is cholecystitis
inflammation of gallbladder
etiology of cholecystitis
obstruction from gallstones or biliary sludge
prolonged immobility/fasting
bacterial infection
parenteral nutrition
DM
cholecystitis patho
obstruction –> inflammation
gallbladder becomes edematous, hyperemic, distended
overtime scarring and decreased functioning
CM of cholecystitis
similar to cholelithiasis
fever N/V restlessness diaphoresis
lab values: bilirubin, liver enzymes, increased WBC
if block to pancreas increased amylase
