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27 Cards in this Set
- Front
- Back
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choecystitis is more common in men/women
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women
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cholecystitis is more severe in men/women
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men
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T/F: acalculous cholecystitis is less severe than gallstone-related cholecystitis
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false
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T/F: chronic cholecystitis is associated with gallstones
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true
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___ causes more than 90% of acute cholecystitis
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cholelithiasis
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the inflammation in acute cholecystitis is initially ___
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sterile
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usually gallbladder becomes infected with ___ (3)
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E. coli
enterobacteraciae enterococci |
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main complaint in acute cholecystitis
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abdominal pain
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abdominal pain in acute cholecystitis is in ___ (2). it radiates to ___ (2)
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RUQ
epigastrium right shoulder back |
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pain in acute cholecystitis commonly follows ___ by ____ (time)
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ingestion of fatty foods
1 hr |
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4 acute cholecystitis physical exam findings
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Murphy's sign
fever tachycardia guarding |
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T/F: acute cholecystitis can spontaneously abate
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true
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most common complication of acute cholecystitis. it is most common in ___ pts.
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gallbladder gangrene
elderly |
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localized perforation of gallbladder gangrene causes ___
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pericholecystic abcess
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free perforation of gallbladder gangrene into peritoneum causes ___.
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generalized peritonitis
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perforation of gallbladder into intestine causes ___
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cholecystoenteric fistula
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passage of gallstone through a cholecystoenteric fistula can cause ___ at ___
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bowel obstruction
terminal ileum |
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lab finding in acute cholecystitis
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leukocytosis with left shift
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T/F: US is good for detecting gallstones
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true
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nuclear medicine test for acute cholecystitis
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hepatic iminodiacetic acid (HIDA)
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HIDA test is positive if ___ occurs, which indicates ___
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no label is taken up by GB
obstruction of cystic duct |
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___ is a benign condition which may present similarly to acute cholecystitis.
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biliary colic
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biliary colic differs from acute cholecystitis in ___
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lack of inflammation
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if pain of biliary colic lasts ___, suspect ___.
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>4--6 h
acute cholecystitis |
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___ (2) is important first step in treatment of acute cholecystitis
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IV hydration
electrolyte correction |
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___ is done for patients who can't have cholecystectomy
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percutaneous cholecystotomy
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T/F: incidentally discovered gallstones should be removed
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false
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