click below
click below
Normal Size Small Size show me how
Stack #199602
gallbladder
| Question | Answer |
|---|---|
| Gallbladder | pear shaped organ that stores bile until needed for digestion7-10 cm long and dark green due to bileconnected to liver and duodenum by the biliary tract |
| Bile | emulsifies fat |
| most digestion occurs in? | duodenum |
| diets high in fat can cause | gallbladder problems |
| some reasons for gall stones | pregnancy, immobility, predisposition for stones, diet, hormone therapy, BCPs, stasis of bile, or body weight. |
| Cholelithiasis | presence of stones in the gall bladder |
| Cholecystitis | Inflammation of the gall bladder, commonly r/t impaction of a gall stone within the neck of the gall bladder |
| Murphy's sign | Dr. presses on the andomen over the gall bladder and it is very painful...this is a positive murphy's sign |
| Cholecystitis S/S | RUQ pain, pain may radiate to Rt shoulder, N&V,fever, +Murphy's sign |
| S/S of Gall Bladder disease | Fat intoleranceDyspepia, Heartburn, flatulence, sensation of fullness, anorexia, clay colored stool. RUQ pain. severe pain may radiate t Rt shoulder, jaundice, N&V, leukocytosis |
| Complications of Gall Bladder disease | rupture, abscess, sirrhosis, cholangitis |
| diagnosis of Gall Bladder disease | ultrasound, Liver function test, ERCP, MRCP, Hida scan with EF, IV Cholangiogram, cholecytogram |
| management of Gall Bladder disease | pain controlsurgery: open or laproscopictranshepatic biliary catheter |
| conservative care of Gall Bladder disease | pain controlcontrol of infectionmaintenence of F/Egastric decompressionanticholinergics |