Docstoc

Gall Bladder Mellinger

Document Sample
Gall Bladder Mellinger Powered By Docstoc
					                                    GALL BLADDER


SUGGESTED READINGS
GALL BLADDER
Sabiston Textbook of Surgery, The Biological Basis of Modern Surgical Practice, 18th Edition,
Ch 54. Available online through the library.


OBJECTIVES
GALL BLADDER
  1. List the common types of gallstones and describe the pathophysiology involved in their
     formation.
  2. Describe the signs and symptoms in a patient with biliary colic. Contrast these symptoms
     with those of acute cholecystitis.
  3. List the tests commonly used in the diagnosis of calculus biliary tract disease. Describe
     the indications for, limitations of, and potential complications of each.
  4. List the complications which can occur from biliary calculi.
  5. Outline the medical and surgical management of a patient with acute cholecystitis.
  6. Describe the symptoms and signs of chloedocholithiaisis; describe the management of
     this problem.
  7. Contrast the liver enzyme abnormalities in obstructive jaundice and viral hepatitis.
  8. List the most common bacteria found in cholecystitis and cholangitis.


CASE HISTORIES
GALL BLADDER
  1. 58 year-old female is admitted with right upper quadrant pain. Her temperature is 101.2
     with otherwise stable vital signs. White blood count is 12,300, bilrubin is 4, alkaline
     phosphatase is 1½ times normal and ultrasound shows gallstones and dilated common
     duct measuring 1.1 cm.

   2. 70 year-old male with IDDM presents with nausea, vomiting, right upper quadrant pain
      and fever. Abdominal series shows air in the wall of the gallbladder.

   3. 40 year-old woman has recently undergone laparoscopic cholecystectomy. She now
      presents 8 weeks postoperatively with right upper quadrant pain and nausea, the same
      symptoms she had prior to her cholecystectomy.

   4. 55 year-old female has intermittent right upper quadrant pain, nausea, and vomiting. She
      has had an ultrasound that reported no gallstones ad an EGD negative for ulcer disease.

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:4
posted:11/14/2011
language:English
pages:1