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N370: Hepatobiliary

Signs & Symptoms pt. 1

DxManifestations/Causes
ABRUPT episodic RUQ/epigastric pain; some can be asymptomatic B/c the liver and gallbladder are located on the RUQ, _______ is a telltale sign of cholelithiasis.
Cholelithiasis Abrupt episodic RUQ pain, N/V, tachycardia, diaphoresis, steatorrhea (fatty stool d/t inability to breakdown fat caused by stones); similar s/sx to heart attack so we need to do imaging tests to differentiate
Cholecystitis Postprandial pain esp high fat (food stimulation moves stone to block duct/high fat trigger gallbladder to contract to release bile), N, belching, , epigastric pain w/ DEC/ABSENT BS, pruritus, mild jaundice, fatty/pale stools, dark urine are s/s of ______
Kehr's; murphy's; cholecystitis ____'s sign (REFERRED pain - right should radiated pain w/ breathing b/c diaphragm hits GB & liver; ___'s sign (RUQ pain on deep inspiration w/ palpation -> + if abrupt CESSATION upon Right sternal palpation d/t pain - GB inflammation); both s/s of ___
WBC; serum bilirubin; alkaline phosphatase; amylase/lipase Elevated _____ (leukocytosis), _____ (rt liver fn), _______ (rt gallbladder fn & bone cancer), _____/____ (rt pancreas -> basically "lactic acid" from pancreas.
Charcot's triad; cholangitis; WBC, serum bilirubin, AST, ALT Intermittent chills/fever, RUQ abdominal pain/tenderness, jaundice (b/c COMMON bile duct affects both liver and GB) make up the _____ triad -> s/sx of ______; _____, ____, ____, ____ will also be elevated.
Cirrhosis Generalized weakness, weight loss, anorexia d/t poor digestion, N/V, flatulence are early sx of _______.
Cirrhosis Jaundice, GIB, varicose veins, esophageal varices, hemorrhoids, spleen enlargement, ascites, coagulopathy esp bruising (vit K) are defining features of _______.
Ascites; transition point Bulging flanks, protruding umbilicus, fluid wave, shifting dullness (tapping and have pt turn -> dullness upon percussion shifts b/c fluid shifts) are sx of ______; _____ where tympany meets dullness to determine level of this dx
Created by: yortiz
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