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Patho flashcards gallbladder disorders
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The gallbladder is inferior and posterior to the liver. The gallbladder and its connecting ducts are referred as the biliary system. The biliary system is involved in the production and transportation of bile2. Bile is produced in the liver and when it is secreted, it flows through the cystic duct to the gallbladder to be stored. The gallbladder is a storage unit for bile. The job of bile is to emulsify fat. Also in the gallbladder, hard deposits of bile can form. Those hard deposits are called gallstones and they can be quite painful.
The pain that Ms. Martha is feeling is because of those gallstones. It is blocking the drainage system of the gallbladder. If the gallstone was to get dislodged, it would travel through the cystic duct and out
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through the major duodenal papilla, entering the duodenum. From the duodenum, the gallstone will travel through the jejunum and ileum, both of which help make up the small intestine. From the ileum, the gallstone enters the beginning of the large intestine which is the cecum. From the cecum, the gallstones can take two paths. One path travels through the large intestine to the rectum, then through the anal canal, and finally ending up in the toilet. The second path is more life threatening since the gallstone can enter the cecum and drop to the bottom of it, blocking the hole of the appendix. If the appendix is blocked, that blockage can lead to appendicitis, which is the inflammation of the appendix. She’s has referred pain which is pain perceived at a location different from the pain stimulus. Although she has pain in her gallbladder area, she also has referred pain in wrapped her back, inferiorly to her scapula. The liver and biliary system is innervated by the celiac plexus which is connected to the greater splanchnic nerves. The greater splanchnic nerves innervate T5 through T8 of the spine. The preganglionic fibers of the greater splanchnic nerves pass through the sympathetic chain without synapsing and enter through the celiac ganglion and synapses. From the celiac ganglion, the postganglionic fibers head to and innervates the liver and biliary system. This When the surgeon performs the surgery to remove the gallbladder, the cystic artery must be ligated or closed off. The cystic artery supplies the blood to the gallbladder. The right atrium supplies the numerous arteries that supply the cystic artery. The pathway of blood from the right atrium of the heart to the gallbladder isn’t as difficult as it seems.
It begins at the right atrium. Blood enters the right atrium from the superior and inferior vena cava and the coronary sinus, then it moves through the tricuspid valve. After the tricuspid valve, blood enters the right ventricle which then leads to another valve called the pulmonary semilunar valve. From the pulmonary semilunar valve, blood enters the pulmonary trunk which branches off into the right and left pulmonary arteries. From the pulmonary arteries, the blood enters the lungs and undergoes a gas exchange in the alveoli. After gas exchange has occurred, oxygenated blood flows through the pulmonary veins into the left atrium. From the left atrium, blood runs through the bicuspid valve. From the bicuspid valve, the blood enters the left ventricle and is pumped through a fourth valve, the aortic semilunar valve, and courses through the aortic arch. From the aortic arch, the blood rushes down the descending aorta and runs through the celiac trunk. Said trunk branches off into 3 arteries, one being the common hepatic artery. From the common hepatic artery, blood branches off to the right hepatic and cystic arteries. It is the latter that ultimately supplies the
gallbladder.
The gallbladder according to Dorland’s Medical Dictionary is ‘the pear shaped reservoir for the bile on the posteroinferior surface of the liver, between the right and the left quadrate lobe, from its neck the cystic duct projects to join the common bile duct’. The function of the gallbladder in the human body is to solve and concentrate bile, which is produced by the liver and is necessary for proper digestion of fats.
They can be enumerated as difficult entry to the right hypochondrium owing to the adhesions, difficulty in exposure can also arise due to diseased gallbladder and Liver ,acutely inflamed and tense gallbladder ,gallbladder packed with stones ,thick walled gallbladder ,fibrotic gallbladder ,gallbladder mass and abnormality can also arise due to anomalous anatomy of hepatobiliary system like situs inversus, malposition of the gallbladder, arterial anomalies and short cystic duct, a huge stone impacted in the cystic duct, Hartmann’s pouch adherent to the common hepatic duct and anomalous insertion of the cystic duct.
One or more gallstones erode into the gastrointestinal tract, creating a cholecystenteric fistula, most commonly between the gallbladder and the duodenum. Gallstones less than 2 to 2.5 cm generally pass into the intestine without causing obstruction while stones 5 cm or larger are more likely to impact usually at the distal ileum, the narrowest part of the small bowel. Other reported sites of impaction include proximal ileum, jejunem, colon, and rarely the duodenum or stomach (bouveret’s syndrome). [11] In our case, a large, approximately 5 cm, gallstone was found impacted at the jejunum while a smaller stone was found impacted at a Meckel’s
The normal Mitral Valve controls blood flow between the upper (left atrium) and lower chamber (left ventricle) of the left side of the heart. The mitral valve allows blood to flow from the left atrium into the left ventricle, but not flow the other way. With each heartbeat, the atria contract and push blood into the ventricles. The flaps of the mitral and tricuspid valves open to let blood through. Then, the ventricles contract to pump the blood out of the heart. The flaps of the mitral and tricuspid valves close and form a tight seal that prevents blood from flowing back into the atria (nhlbi.nih.gov).
The laparoscope was inserted and the remaining ports were placed visualizing their placement with a laparoscope. An 11 mm port was placed in the subxiphoid location, and two 5 mm ports were placed laterally under the right subcostal (rib) margin. The gallbladder was identified. It was edematous, acutely inflamed. It was grasped with the fundus and retracted in a (cephalad) direction. There were no omental adhesions adherent to the gallbladder that were taken down sharply. The neck was then grasped along the lateral most ports and retracted in a lateral direction. The cone bile duct was identified and care taken to avoid injury to this structure. The cystic artery and cystic duct were identified, mobilized, doubly ligated with endoclips and then divided. The gallbladder was dissected free from the liver with the electrocautery. The specimen was placed in an (Endo Catch) (sac), and was removed through the umbilical incision with no difficulty. The Hassan trocar was reinserted into the abdomen, reinflated the suprahepatic lymphatic space was irrigated copiously with normal saline. Adequate hemostasis was obtained in the gallbladder fossa with the electrocautery. The 360 degree
The cardiovascular system is divided into two systems a pulmonary and a systemic. Pulmonary division- blood flows from the heart to alveolar capillaries and back to the heart. Systemic division- blood flows from heart to every capillary “except alveolar” and back to heart.
The heart is two sided and has four chambers and is mostly made up of muscle. The heart’s muscles are different from other muscles in the body because the heart’s muscles cannot become tired, so the muscle is always expanding and contacting. The heart usually beats between 60 and 100 beats per minute. In the right side of the heart, there is low pressure and its job is to send red blood cells. Blood enters the right heart through a chamber which is called right atrium. The right atrium is another word for entry room. Since the atrium is located above the right ventricle, a mixture of gravity and a squeeze pushes tricuspid valve into the right ventricle. The tricuspid is made up of three things that allow blood to travel from top to bottom in the heart but closes to prevent the blood from backing up in the right atrium.
As learned in the class, mitral valve is between the left atrium and ventricle. At beginning of the systemic loop, oxygen-rich blood enters the left atrium and while the chamber fills up, the mitral valve is pressed to open and blood flows into the left ventricle. When the ventricle contracts, blood push the aortic valve and exits the ventricle. The left ventricle and atrium experience the similar cycle. The only difference is that instead of having the mitral valve, the valve between the right atrium and right ventricle is the tricuspid valve, which has three flaps while mitral valve only has two flaps.
...stive tract. Surgery becomes an option when the medication does not control the symptoms anymore and become ineffective. The procedure includes removal of the affected areas of the bowel and then joining the two ends of the healthy parts together. Sadly while this procedure may cause the symptoms to disappear for many years, they will eventually reoccur later on in life.
The gallbladder is a small organ that is located under the liver. The purpose of the gallbladder is to store bile and bile is a fluid made by the liver that helps digest fat. The gallbladder releases bile through a tube called the common bile duct. The common bile duct connects the gallbladder and liver to the small intestine. There are several conditions that can affect the gallbladder. This is called “gallbladder disease”, the term refers to any condition that affects the gallbladder. Gallstones and Cholecystitis, are two conditions that affect the gallbladder.
Pancreas: The pancreas is an oval organ located between the stomach and the small intestine. It makes fluids to protect the small intestine from the acid. It produces important enzymes and hormones that will ...
The pattern of blood flow starts in the left atrium to right atrium, then into the left ventricle and right ventricle. During its course, blood flows through the mitral and tricuspid valves. Simultaneously, the right atrium is granted blood from the veins through the superior and inferior vena cava. The job of the superior vena cava is to transport de-oxygenated blood to the right atrium. When your heart beats, the first beat represents the AV valves closing to prevent the backflow of blood into the atrium.
the aortic valve, between the left ventricle and the aorta. heart_chambers.jpg Each valve has a set of "flaps" (also called leaflets or cusps). The mitral valve normally has two flaps; the others have three flaps. Dark bluish blood, low in oxygen, flows back to the heart after circulating through the body. It returns to the heart through veins and enters the right atrium.
The pancreas is one of the essential organs in the human body and belongs in the Digestive system. Out of all the internal organs, the pancreas is unique because the pancreas plays a role in both the endocrine gland and the exocrine gland. This means that the pancreas is a dual function gland in which is the reason why the pancreas is such a vital part of the digestive system. This research paper will talk about the anatomy, physiology, and the important functions the pancreas play to maintain homeostasis.