Unit 2: Cholecystitis

Question 1

Chemical Irritation and inflammation from gallstones

Answer 1

Calculous cholecystitis (obstructive)

Question 2

Inflammation not due to gallstones but anatomic issues

Answer 2

Acalculous cholecystitis (flow issue)

Question 3

Complications of calculous cholecystitis

Answer 3

Blockage → Ischemia → Infection → Perforation → Peritonitis

Question 4

S/S of cholecystitis (pain? GU S/S?) (7)

Answer 4

1. RUQ pain (may radiate to R. shoulder)
2. Rebound tenderness
3. Fever
4. Jaundice
5. Dark urine
6. Clay-colored stools
7. Steatorrhea

Question 5

A HIDA scan is measuring

Answer 5

Bile flow

Question 6

Interventions for cholecystitis (surgical procedure + Mx + Nutrition–exclude drug therapy) (3)

Answer 6

1. Surgical procedure (Cholecystectomy, extracorporeal shock wave lithotripsy, percutaneous biliary catheter)
2. IV fluids (prevent dehydration)
3. AVOID FATTY FOODS :(

Question 7

Drug therapy for cholecystitis (4)

Answer 7

Drug therapy:
1. Pain meds (Opioids!)
2. NSAIDs (decrease inflammation)
3. Antiemetics
4. Ursodiol (Actigall)

Question 8

A Laparoscopic Cholecystectomy is preferred why?

Answer 8

Get those suckers in and out (same-day surgery)