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Patho chap 32
Gallbladder, pancreatic, and bile duct dysfunction
| Question | Answer |
|---|---|
| the function of bile | assist with digestion and elimination |
| bile breaks down what | fats and facilitates the absorption of fat - soluble vitamins |
| where is bile stored? | stored in the gallbladder while the rest is released into hepatic duct and then onto the common bile duct |
| bile is released in response to what hormone? | cholecystokinin in the small intestine when fatty food is consumed |
| pancreas secretes what digestive enzymes | lipase, amylase, peptidases, and bicarbonate to neutralize acid in the intestines |
| where are digestive enzymes secreted? | into the pancreatic duct which drains into the common bile duct |
| digestive enzymes is released in response to what hormone? | secreatnin |
| choledocholithiasis | when gallstones can also travel further and obstruct the common bile duct |
| cholelithiasis | gallstones |
| biliary stasis | delayed emptying of the gallbladder |
| biliary sludge | the precursor to gallstones |
| cholangitis | when a gallstone can cause inflammation of the cystic duct |
| biliary colic | a syndrome of spasmodic pain associated with irritation of the gallbladder, secondary to gallstones |
| risk factors of cholecystitis | female, fatty, fertile, forty or fifty |
| what can cause cholecystitis | usually due to gallstones |
| what are the symptoms of cholecystitis | episodic colicky or spasmodic pain after eating, positive murphy's sign pain may refer to the right scapula, anorexia & feeling of fullness |
| murphy's sign | the RUQ pain associated with cholecystitis |
| collin's sign | the pain of cholecystitis radiates to the right shoulder or scapula |
| what two things can a ruptured gallbladder lead to | peritonitis and sepsis |
| inflammation of the pancreas can lead to what 3 things | pancreatic insufficiency malabsorption diabetes |
| auto digestion | the process in pancreatitis where the digestive enzymes attack the pancreatic tissue |
| causes of acute pancreatitis | alcohol and gallstones |
| causes of chronic pancreatitis | recurrent acute episodes, alcohol, hereditary disease |
| symptoms of acute pancreatitis | sudden and severe |
| symptoms of chronic pancreatitis | symptoms fluctuate |
| Cullen's sign | discoloration around umbilicus due to hemorrhage |
| Grey Turner sign | discoloration around the flanks |
| complication of pancreatitis | leakage can cause a gland tumor |
| how does chronic pancreatitis differ from acute pancreatitis | chronic pancreatitis is chronic, ongoing disease |
Created by:
sammy.e7
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