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NURS 319: Gallblad.
NURS 319: Chapter 32 Gallbladder, Pancreatic, and Bile Duct Dysfunction
| Question | Answer |
|---|---|
| function of bile | assist with digestion and absorption; breaks down fat, facilitates the absorption of water-soluble vitamins |
| where is bile stored | gallbladder, then released through cystic duct to common hepatic duct |
| what stimulates bile release | cholecystokinin (CCK) |
| pancreas secrete digestive enzymes | lipase, amylase, peptidases and bicarbonate |
| where are digestive enzymes secreted into | pancreatic duct, drains to the common bile duct |
| what stimulates the secretion of digestive enzymes | secretin + CCK |
| choledocholithiasis | gallstone in common bile duct |
| cholelithiasis | gallstones |
| biliary stasis | reduction in bile secretion |
| biliary sludge | solids mixture from bile |
| cholecystitis | inflammation of gallbladder |
| cholangitis | inflammation of bile duct system |
| biliary colic | pain with gallbladder irritation |
| risk factors of cholecystitis | female, 40 years or older, obese, high calorie diet, oral conceptives |
| what can cause cholecystitis | gallstones |
| cholecystitis symptoms | pain after eating, anorexia/ fullness |
| murphy's sign | pain with inspiration |
| collin's sign | hand behind back, thumb upwards |
| a ruptured gallbladder can lead to | SIRS and sepsis |
| inflammation of the pancreas can lead to | malnutrition, diarrhea, weight loss |
| pancreatitis | digestive enzymes attack pancreatic tissue |
| pancreatitis causes | belly injury/ surgery, increased triglycerides, increased calcium, medicines, infections, cystic fibrosis, tumor |
| pancreatitis symptoms | abdominal pain, nausea, vomiting, increased heart rate, fever, upper abdominal soreness, fluid build-up, decreased blood pressure |
| cullen's sign | bruising around belly button |
| grey turner's sign | bruising around flanks |
| pancreatitis complications | gland tumor, retroperitoneal blood accumulation |
| chronic pancreatitis | autodigestion |
| acute pancreatitis | grey turner's + cullen's signs |
| pancreatic cancer risk factors | smoking, diabetes, chemical exposure, obesity, pancreatitis, diet, alcohol, age, genetics |