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BiliaryTractDisorder

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QuestionAnswer
Cholelithiasis aka gallstones Gallstones are hard pebble like stones that form inside the gallbladder.
Cholecystitis Inflammation of the gallbladder. Gallstones are lodged in the neck of the bladder.
Prevalance Women over 40, multiparous, obesity, Native American, sedentary lifestyles and familial.
Acute S & SX Jaundice, increased WBC, fever, pain, N & V.
Chronic S & SX Fat intolerance, dyspepsia, heartburn & gaseous.
Complications: Pancreatitis, cholangititis, biliary cirrhosis, fistulas and ruptured gallbladder.
DX: Ultrasound most common tool used to find stones. Endoscopic retrograde used to visualize the gallbladder systems.
Other DX: IV cholangiogram; radiography IV instilled percutaneously directly into the bilary tree. Liver function tests. WBC counts. Serum Bilirubin.
Conservative Therapy IV fluids, NPO with NG tube, low fat diet, antimetics, analgesics, antibiotics, anticholingerics & fat-soluble vitamins.
Surgery: Cholecystectomy: removal of the gallbladder. Laparoscopic: removal of gallbladder via laparoscopy.
Created by: libbygal_77
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