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Questions and Answers
What is the primary cause of acute cholecystitis?
Which symptom is most commonly associated with acute cholecystitis?
How does the pain of chronic cholecystitis typically present?
Which of the following is a characteristic symptom of cholelithiasis?
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In acute cholecystitis, how does the pain typically behave during physical activity?
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What is a common characteristic of pain associated with acute cholecystitis?
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Which symptom is specifically linked to chronic cholecystitis?
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What distinguishes the duration of pain experienced during a cholelithiasis episode?
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Which combination of symptoms is most commonly associated with acute cholecystitis?
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How is the pain of cholecystitis aggravated?
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Study Notes
Cholecystitis
- Inflammation of the gallbladder
- Acute cholecystitis is caused by a gallstone obstructing the cystic duct
- Acute cholecystitis begins with an attack of biliary colic
- Acute cholecystitis pain is in the right upper quadrant (RUQ) and radiates to the back, right scapula, or shoulder
- Acute cholecystitis pain lasts longer than biliary colic
- Acute cholecystitis commonly includes anorexia, nausea, and vomiting
- Acute cholecystitis often presents with fever and chills
- Chronic cholecystitis results from repeated bouts of acute cholecystitis or persistent gallbladder wall irritation from stones
- Chronic cholecystitis is often asymptomatic
Cholelithiasis
- Pain is abrupt onset, severe, steady, and localized to the epigastrium and RUQ
- Pain may radiate to the back, right scapula, or shoulder
- Pain lasts 30 minutes to 5 hours
- Associated symptoms include nausea and vomiting
Cholecystitis
- Pain has abrupt onset, is severe and steady, and lasts 12–18 hours
- Pain is generalized in the RUQ and may radiate to the back, right scapula, or shoulder
- Pain is aggravated by movement and breathing
- Associated symptoms include anorexia, nausea, vomiting, RUQ tenderness and guarding, chills, and fever
Cholecystitis
- Inflammation of the gallbladder
-
Acute cholecystitis:
- Caused by a gallstone obstructing the cystic duct
- Begins with biliary colic (pain)
- Pain is in the right upper quadrant (RUQ) and may radiate to the back, right scapula, or shoulder
- Pain lasts longer than biliary colic
- Anorexia, nausea, and vomiting are common
- Fever and chills are often present
-
Chronic cholecystitis:
- Caused by repeated acute cholecystitis or persistent irritation of the gallbladder wall by stones
- May be asymptomatic
Cholelithiasis
- Pain:
- Abrupt onset, severe, steady
- Localized to the epigastrium and RUQ
- May radiate to the back, right scapula, or shoulder
- Lasts 30 minutes to 5 hours
- Associated symptoms:
- Nausea
- Vomiting
Cholecystitis
- Pain:
- Abrupt onset, severe, steady, lasting 12–18 hours
- Generalized in the RUQ; may radiate to the back, right scapula, or shoulder
- Aggravated by movement and breathing
- Associated symptoms:
- Anorexia, nausea, and vomiting
- RUQ tenderness and guarding
- Chills and fever
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Description
Test your knowledge on cholecystitis and cholelithiasis. This quiz covers the symptoms, causes, and differences between acute and chronic cholecystitis, as well as gallstone-related issues. Enhance your understanding of these gallbladder conditions.