CP 15

  1. Define: cholelithiasis, cholecystitis, cholangitis, choledocholithiasis
    • Cholelithiasis - presence of 1+ gallstones
    • Cholecystitis - inflammation of gall bladder
    • Choledocholithiasis - stones in common bile duct
    • Cholangitis - inflammation of bile duct
  2. Outline the pathogenesis of cholecystitis.
    • Stone is lodged in Hartman's pouch
    • Increased gallbladder secretion
    • Progressive distension of gallbladder
    • Compromises vascular supply
    • Secondary infection
    • Parietal parioneal inflammation causing Sx
  3. Name 2 tests to be monitored regularly in cholecystitis.
    • LFTs
    • Serum amylase
  4. Name 4 complications of cholecystitis.
    • Gangrene & perforation
    • Fistula into duodenum/jejunum
    • Gallstone ileus (mechanical bowel obstruction)
    • Chronic cholecystitis/cholangitis
  5. Name 5 risk factors for cholecystitis.
    • Female
    • FHx
    • OCP
    • Obesity/diet
    • Diabetes
    • Crohn's, ileal resection (reduced bile salts)
Author
cathy4xo
ID
44930
Card Set
CP 15
Description
gall bladder
Updated