iloveGong

Cholecystitis
• Inflammation of gall bladder
• Cholelithiasis
o Gall stones
o Formed in biliary tract
 Cholesterol
 Bile pigment
• Caused by cholesterol crystallization from gall bladder bile
o Cholesterol supersaturation of bile
o Crystallization promoting factors within bile
o Motility of gall bladder
• Bile pigment stones
o Black
o Brown
• Cholecystitis caused by obstruction to gall bladder emptying.
• Caused by obstruction of the cystic or common bile duct by a stone migrating from the gall bladder.
o Obstruction results in increased glandular secretion leading to progressive distension of the gall bladder.
• Symptoms
o Severe, steady pain in the epigastric region that then localises to the upper right quadrant.
o Pain gets worse with deep breaths
o The pain often radiates to the tip of the right scapula.
o Fever, sweating, chills
o Loss of appetite, abdominal bloating
o Jaundice

By Kieron