38 Questions
Where is the gallbladder located in the body?
Underneath the liver
What is the primary function of the gallbladder?
To store and concentrate bile
What is the primary pigment in bile?
Bilirubin
What is the term for the inflammation of the gallbladder?
Cholecystitis
What type of cholecystitis is characterized by the presence of gallstones?
Calculous Cholecystitis
What is the term for the obstruction of the cystic duct, gallbladder neck, or common bile duct by gallstones?
Calculous Cholecystitis
What is the purpose of asking a patient about the color of their urine and stool?
To evaluate the patient's liver function
What is the result of tissue death due to a form of interrupted blood supply?
Gangrene
What is the primary cause of oily, smelly stools in patients with chronic cholecystitis?
Increased fat excretion
What is the term for the inflammation of the peritoneum?
Peritonitis
What is the result of the buildup of bile salts in the skin?
Itching and burning
What is the term for the process of irreversible cell death?
Necrosis
What is the primary goal of management in chronic cholecystitis?
Emphasis on weight loss and avoidance of fatty foods
What is the term for the yellowing of the skin and eyes due to bilirubin buildup?
Jaundice
What is a characteristic of steatorrhea?
Oily, smelly stools that often float
Which of the following is a risk factor for cholecystitis?
Rapid weight loss
What is Blumberg sign?
Pain that occurs upon removal of pressure from the abdomen
Which of the following is NOT a risk factor for gallstones?
Regular exercise
What is the best initial diagnostic test for cholecystitis?
Ultrasound
What is the purpose of obtaining a CBC in a patient with suspected cholecystitis?
To look for an increase in WBCs
What is the significance of an elevated ESR (Sed Rate) in a patient with suspected cholecystitis?
It measures the level of inflammation
What is the indication of an ESR of 20 mm/hr?
Inflammation
Which liver enzyme is elevated in cholecystitis?
All of the above
What is the purpose of Ursodiol in the treatment of gallstones?
To dissolve gallstones when they cannot be removed by surgery
What is the advantage of Extracorporeal Shock Wave Lithotripsy (ESWL)?
It can treat patients with normal weight and good gallbladder function
What is the purpose of periodic surveillance in patients undergoing non-surgical treatment for gallstones?
To monitor the patient's response to Ursodiol
What is the indication for Percutaneous Transhepatic Biliary Catheter?
Biliary obstruction
What is the purpose of Ketorolac in the treatment of gallstones?
To relieve pain in acute biliary pain
What is the purpose of positioning the external drainage bag below the catheter insertion site?
To facilitate drainage by gravity
What is an advantage of laparoscopic cholecystectomy over traditional open cholecystectomy?
Faster patient recovery
What is a potential complication of laparoscopic cholecystectomy?
Discomfort from CO2 retention
What is the primary difference between internal and external drainage?
All bile enters the duodenum in internal drainage, while some bile empties into a drainage bag in external drainage
What does a reduction in bile drainage indicate?
The drain is not working properly
How many incisions are typically made in laparoscopic cholecystectomy?
Several
What is the primary advantage of traditional open cholecystectomy over laparoscopic cholecystectomy?
There is no primary advantage of traditional open cholecystectomy
What is the purpose of using a tiny video camera in laparoscopic cholecystectomy?
To enable the surgeon to visualize the inside of the abdomen
What is the typical duration of stay in the hospital for laparoscopic cholecystectomy?
The same day
Where is the incision typically made in traditional open cholecystectomy?
Below the ribs on the right side
Learn about the functions of the gallbladder, including the collection, concentration, and storage of bile, and its role in fat breakdown. Understand the composition of bile and the importance of bilirubin in the digestion process.
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