Thursday, March 19, 2009

Cholelithiasis

  • Cholelithiasis

- Formation or presence of stone in the gallbladder

- Risk factor: 4 F (female, fat, forty, fertile)

- Types of gallstones:

- Cholesterol stones – 50% cholesterol by wt

- Pigment stones – bile pigments often caused by stasis of bile

- - Clinical Manifestations

- Intolerance to fatty foods

- Nausea and vomiting

- Pain in right upper quadrant

- Positive Murphy’s sign

- Low grade fever

- Steatorrhea

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Diagnostics:

- Cholecystogram, CT scan, Ultrasound

- Elevated unconjugated bilirubin, WBC, Amylase, lipase

- Management

- Analgesics (demerol)

- Antiemetics

- Oral dissolution therapy- ursodeoxycholic acid

- Surgery:

- Extracorporeal Shockwave lithotrypsy

- Laparoscopic laser cholecystectomy

- Abdominal cholecystectomy

- Percutaneous cholecystolithotomy

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Nursing Interventions:

- Same as cholecystitis

1 comment:

  1. maggie.danhakl@healthline.comOctober 9, 2014 at 10:47 PM

    Hi,

    Healthline.com recently launched a free interactive "Human Body Maps" tool. I thought your readers would be interested in our body map of the Gallbladder: http://www.healthline.com/human-body-maps/gallbladder

    It would be much appreciated if you could include this tool on http://leiddette.blogspot.com/2009/03/cholelithiasis.html and / or share with friends and followers. Please let me know if you have any questions.

    Thank you in advance.
    Warm Regards,

    Maggie Danhakl- Assistant Marketing Manager
    p: 415-281-3124 f: 415-281-3199

    Healthline Networks, Inc. * Connect to Better Health
    660 Third Street, San Francisco, CA 94107 www.healthline.com

    ReplyDelete

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