Gall Bladder Stones & One Stop Clinic Pathway

<p>By streamlining processes, optimizing resource use, and improving patient convenience and decreasing wait times. (D)</p> Signup and view all the answers

<p>1-15 Days (D)</p> Signup and view all the answers

<p>Positioning the finger parallel to the spermatic cord within the scrotum to follow it to the external ring. (A)</p> Signup and view all the answers

<p>Leukocytosis and vital sign instability (D)</p> Signup and view all the answers

<p>Avoiding lifting heavy objects to minimize strain on the surgical site. (B)</p> Signup and view all the answers

<p>Hypotension during the procedure. (C)</p> Signup and view all the answers

<p>Femoral hernia (A)</p> Signup and view all the answers

<p>Upper respiratory Infection (A)</p> Signup and view all the answers

<p>Symptomatic Cholelithiasis (B)</p> Signup and view all the answers

<p>Advanced Age (B)</p> Signup and view all the answers

<p>Hemolytic State (D)</p> Signup and view all the answers

<p>Gallbladder Wall Thickening &gt;4mm (C)</p> Signup and view all the answers

<p>Murphy's Sign (C)</p> Signup and view all the answers

<p>Biliary Colic (A)</p> Signup and view all the answers

<p>Total Bilirubin (B)</p> Signup and view all the answers

<p>Indirect inguinal hernia (D)</p> Signup and view all the answers

<p>Increased risk of strangulation (D)</p> Signup and view all the answers

<p>Ventral hernia (D)</p> Signup and view all the answers

<p>Acquired condition such as obesity or pregnancy (B)</p> Signup and view all the answers

<p>Within 2 years (B)</p> Signup and view all the answers

<p>Smoking (D)</p> Signup and view all the answers

<p>Incarceration refers to the inability to reduce the hernia contents, while strangulation involves compromised blood supply. (D)</p> Signup and view all the answers

<p>Both upright and supine positions (D)</p> Signup and view all the answers

<p>Presence of gallbladder stones and pericholecystic fluid. (D)</p> Signup and view all the answers

<p>Phase 4: Post discharge care (1-15 days post discharge) (A)</p> Signup and view all the answers

<p>Severe RUQ pain uncontrolled with medication accompanied by jaundice. (B)</p> Signup and view all the answers

<p>Avoid lifting heavy objects and maintain a low-fat diet. (C)</p> Signup and view all the answers

<p>Ambulatory same-day surgery policies and procedures (B)</p> Signup and view all the answers

<p>To help staff quickly identify patients needing immediate intervention. (D)</p> Signup and view all the answers

<p>Surgical site infection; refer the patient to a secondary hospital. (D)</p> Signup and view all the answers

<p>Retained stone; requires referral for ERCP. (B)</p> Signup and view all the answers

<p>Prescheduling phone call regulations (B)</p> Signup and view all the answers

<p>A strangulated hernia involves vascular compromise and potential tissue death, while an incarcerated hernia does not. (A)</p> Signup and view all the answers

<p>The ability to easily climb one flight of stairs (B)</p> Signup and view all the answers

<p>After 14 days from the operation. (B)</p> Signup and view all the answers

<p>Likely eligible, as long as the asthma is well-controlled and not active. (D)</p> Signup and view all the answers

<p>Identifying bottlenecks and delays in the patient pathway. (A)</p> Signup and view all the answers

<p>Strangulated hernia; concern for tissue ischemia and necrosis. (C)</p> Signup and view all the answers

<p>To improve patient understanding and preparation for surgery. (A)</p> Signup and view all the answers

A healthcare model providing multiple services in a single visit.

Range of healthcare services offered in one visit.

Goal to complete assessments and treatments in one appointment.

Patients experience shorter wait for consultations and procedures.

Convenience leads to higher satisfaction for patients.

The period from the day of surgery to 36 days post-operation, focused on surgical intervention and initial care.

Care provided to the patient from 1 to 15 days following their discharge from the hospital.

Long-term care as needed after initial recovery phases, ensuring continued patient support.

Criteria determining patient eligibility for one-stop clinic services, including age and health status.

Classes describing patients with minimal or mild systemic disease; generally suitable for surgery.

Body Mass Index threshold indicating a healthy weight range for surgical candidates.

Indicators for immediate medical attention required before surgery, ensuring patient safety.

Tools and resources to inform patients about procedures, preoperative and postoperative processes.

A method to evaluate for hernia by palpating the scrotum and inguinal ring.

A type of hernia that occurs below the inguinal ligament and can be confused with inguinal hernias.

Includes abdominal pain, vomiting, dehydration, and fever.

Potential issues after hernia repair, such as infection, recurrent hernia, and testicular atrophy.

Assessment of symptoms like prostatism and stable hernia before surgery to avoid complications.

Five key risk factors include being Female, Fat, Forty, Fertile, and Fair.

Pain due to a stone in the cystic duct; resolves after 6 hours when passed. Symptoms include fever and nausea.

Sign indicating cholecystitis; pain or inspiratory arrest during deep subcostal palpation.

Inflammation of the gallbladder, often marked by GB wall thickening.

Signs include right hypochondrial tenderness, muscle guarding, and rebound tenderness.

Ultrasound is the primary tool to diagnose gallbladder conditions and stones.

Elevated ALT/AST, alkaline phosphate levels; elevated WBC in acute cases.

Pain less than 6 hours not associated with fever or jaundice indicates biliary colic.

Indicates the presence of gallbladder stones detected via ultrasound.

Fluid present around the gallbladder often associated with inflammation or infection.

Signs like severe RUQ pain, jaundice, or fever that indicate urgent medical attention is needed.

Infection characterized by redness, tenderness, heat, and pus at the surgical site.

Wound closure materials that need to be removed after about 14 days.

Protrusion of an organ or tissue through the structure that normally contains it.

A severe condition where an incarcerated hernia compromises blood supply, risking tissue death.

Most common type of groin hernia, occurs in males more than females.

Direct: weakness in Hesselbach triangle. Indirect: patent processus vaginalis.

Appendix within a femoral hernia, more often seen on the right side.

Occurs between the xiphoid and umbilicus, often contains fat or omentum.

Hernia through the umbilical defect, common in both adults and children.

Occurs in up to 20% of patients after abdominal surgery, especially emergent.

Include incarceration, strangulation, bowel ischemia, and perforation.