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17 Cards in this Set
- Front
- Back
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Location of the gallbladder?
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Between right costal margin & left margin of rectus abdominis mm
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Symptoms during palpation of left hypochondrium in cholecystitis?
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Sharp pain
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Is normal gall bladder palpable?
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No, must be enlarged. Then it is like a pear
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Reasons for enlarged gallbladder?
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1. Increased fluid content
2. Filled with stones 3. Tumor infiltration |
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How is gallbladder if filled with fluid?
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Soft, resilient, or maybe harder depending on fluid amount
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What is hydrops?
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Edema
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What are calculi?
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Stones (in gallbladder)
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How is gallbladder in tumor infiltration?
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Hard as a rock
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What is Murphy´s sign?
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When finger is pressed into gallbladder, patient cannot take deep breath.
Due to sharp pain from inflamed gallbladder |
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What is Courvoisiers sign?
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Enlarged gallbladder without pain. Maybe mild jaundice.
Indicates blockage of extrahepatic biliary ducts |
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What is biliary colic?
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Sharp spastic pain that goes up and down within minutes.
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Localization of biliary colic pain?
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Right hypochondrium with radiation to back & below right scapula
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Why does gallbladder disease cause biliary colic? what does the colic pain reflect? How does it develop?
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The colic pain develop due to spasm and relaxation of the smooth muscles in gall bladder, due to stones, inflammations, infiltrative diseases etc...
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In initial phases of gallbladder disease the pain is like?
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Visceral character
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Later it becomes?
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More somatic, lateralization to gall bladder area. Due to irritation of gall bladder serous membrane
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If inflammation involves the phrenic nerves, pain spread to?
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Right shoulder
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If inflammation involves pancreas, the pain spreads to?
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The left
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