Jaundice/GB

Card Set Information

Author:
wcameron
ID:
208147
Filename:
Jaundice/GB
Updated:
2013-03-18 22:10:16
Tags:
GI disease
Folders:

Description:
GI disease
Show Answers:

Home > Flashcards > Print Preview

The flashcards below were created by user wcameron on FreezingBlue Flashcards. What would you like to do?


  1. Obstructive Jaundice
    - obstruction of bile duct

    - Mostly elevated conjugated bilirubin (direct) but will also cause some increased unconjugated (indirect)

    Feces becomes clay colored due to lack of bilirubin in feces.
  2. Cholecystitis
    • - inflammation of GB
    • - usually due to stone blocking GB cystic duct, causing RUQ pain, or referred R subscapular pain. 

    - can be intermittent after eating, assoc. w/ nausea, then subsiding when stone retracts.
  3. Cholelithiasis
    • - Stones in GB
    • - usually asymptomatic & therefore does not req. sx intervention
    • - 8-10% of adults have this

    Risk Factors:

    • - women, multiparous women, postmenopausal women
    • - obesity
    • - sedentary lifestyle
    • - family tendency
    • - Native americans, Navajo/Pima
    • - less in Asian-Americans and African Americans
  4. Formation of Gallstones
    Cholesterol, bile salts, calcium concentrations determine the precipitation of gallstones

    • - prolonged fasting
    • - immobility
    • - pregnancy delays emptying
  5. Symptoms of chronic GB disease
    • - intermittent symptoms
    • - epigastric or RUQ abd.pain
    • - referred pain to scapula/right shoulder
    • - tends to occur after eating
    • - may be assoc. w/ N/V
  6. Diagnostic testing for chronic GB disease
    U/S of GB (20% w/ symptoms will have - test)

    HIDA scan (E.F. of GB) (20% w/ symptoms will have - test)

    Endoscopic ultrasonography

    LFT's NOT USUALLY AFFECTED unless block of common bile duct
  7. Symptoms of Acute Cholecystitis
    Fever

    N/V

    appears ill

    Pain in RUQ, epigastric, or Right scapular area most commonly
  8. Tx of Acute cholecystitis
    NPO 

    pain control

    IV ABX (flagyl q8h + Rocephin 1gm daily)

    Lap. Chole. within 24-48hrs of stay

What would you like to do?

Home > Flashcards > Print Preview