Gallbladder and Bile System Overview
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Questions and Answers

Where is the gallbladder located in the body?

  • Inside the abdominal cavity
  • Next to the small intestine
  • Underneath the liver (correct)
  • On top of the liver

    • What is the primary function of the gallbladder?

  • To break down fats
  • To aid in digestion directly
  • To store and concentrate bile (correct)
  • To produce bile

    • What is the primary pigment in bile?

  • Bile salt
  • Bile acid
  • Cholesterol
  • Bilirubin (correct)

    • What is the term for the inflammation of the gallbladder?

    <p>Cholecystitis</p> Signup and view all the answers

    What type of cholecystitis is characterized by the presence of gallstones?

    <p>Calculous Cholecystitis</p> Signup and view all the answers

    What is the term for the obstruction of the cystic duct, gallbladder neck, or common bile duct by gallstones?

    <p>Calculous Cholecystitis</p> Signup and view all the answers

    What is the purpose of asking a patient about the color of their urine and stool?

    <p>To evaluate the patient's liver function</p> Signup and view all the answers

    What is the result of tissue death due to a form of interrupted blood supply?

    <p>Gangrene</p> Signup and view all the answers

    What is the primary cause of oily, smelly stools in patients with chronic cholecystitis?

    <p>Increased fat excretion</p> Signup and view all the answers

    What is the term for the inflammation of the peritoneum?

    <p>Peritonitis</p> Signup and view all the answers

    What is the result of the buildup of bile salts in the skin?

    <p>Itching and burning</p> Signup and view all the answers

    What is the term for the process of irreversible cell death?

    <p>Necrosis</p> Signup and view all the answers

    What is the primary goal of management in chronic cholecystitis?

    <p>Emphasis on weight loss and avoidance of fatty foods</p> Signup and view all the answers

    What is the term for the yellowing of the skin and eyes due to bilirubin buildup?

    <p>Jaundice</p> Signup and view all the answers

    What is a characteristic of steatorrhea?

    <p>Oily, smelly stools that often float</p> Signup and view all the answers

    Which of the following is a risk factor for cholecystitis?

    <p>Rapid weight loss</p> Signup and view all the answers

    What is Blumberg sign?

    <p>Pain that occurs upon removal of pressure from the abdomen</p> Signup and view all the answers

    Which of the following is NOT a risk factor for gallstones?

    <p>Regular exercise</p> Signup and view all the answers

    What is the best initial diagnostic test for cholecystitis?

    <p>Ultrasound</p> Signup and view all the answers

    What is the purpose of obtaining a CBC in a patient with suspected cholecystitis?

    <p>To look for an increase in WBCs</p> Signup and view all the answers

    What is the significance of an elevated ESR (Sed Rate) in a patient with suspected cholecystitis?

    <p>It measures the level of inflammation</p> Signup and view all the answers

    What is the indication of an ESR of 20 mm/hr?

    <p>Inflammation</p> Signup and view all the answers

    Which liver enzyme is elevated in cholecystitis?

    <p>All of the above</p> Signup and view all the answers

    What is the purpose of Ursodiol in the treatment of gallstones?

    <p>To dissolve gallstones when they cannot be removed by surgery</p> Signup and view all the answers

    What is the advantage of Extracorporeal Shock Wave Lithotripsy (ESWL)?

    <p>It can treat patients with normal weight and good gallbladder function</p> Signup and view all the answers

    What is the purpose of periodic surveillance in patients undergoing non-surgical treatment for gallstones?

    <p>To monitor the patient's response to Ursodiol</p> Signup and view all the answers

    What is the indication for Percutaneous Transhepatic Biliary Catheter?

    <p>Biliary obstruction</p> Signup and view all the answers

    What is the purpose of Ketorolac in the treatment of gallstones?

    <p>To relieve pain in acute biliary pain</p> Signup and view all the answers

    What is the purpose of positioning the external drainage bag below the catheter insertion site?

    <p>To facilitate drainage by gravity</p> Signup and view all the answers

    What is an advantage of laparoscopic cholecystectomy over traditional open cholecystectomy?

    <p>Faster patient recovery</p> Signup and view all the answers

    What is a potential complication of laparoscopic cholecystectomy?

    <p>Discomfort from CO2 retention</p> Signup and view all the answers

    What is the primary difference between internal and external drainage?

    <p>All bile enters the duodenum in internal drainage, while some bile empties into a drainage bag in external drainage</p> Signup and view all the answers

    What does a reduction in bile drainage indicate?

    <p>The drain is not working properly</p> Signup and view all the answers

    How many incisions are typically made in laparoscopic cholecystectomy?

    <p>Several</p> Signup and view all the answers

    What is the primary advantage of traditional open cholecystectomy over laparoscopic cholecystectomy?

    <p>There is no primary advantage of traditional open cholecystectomy</p> Signup and view all the answers

    What is the purpose of using a tiny video camera in laparoscopic cholecystectomy?

    <p>To enable the surgeon to visualize the inside of the abdomen</p> Signup and view all the answers

    What is the typical duration of stay in the hospital for laparoscopic cholecystectomy?

    <p>The same day</p> Signup and view all the answers

    Where is the incision typically made in traditional open cholecystectomy?

    <p>Below the ribs on the right side</p> Signup and view all the answers

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