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2 Weight in Pounds George Bray MD Pennington Biomedical Research Center. Disease. Gallbladder and Biliary Tree. Imaging Studies Available. X-ray. Computed tomography. Radioisotope scan (. hepatobiliary. scan). Ultrasound: . the most sensitive study for gallstone. Gallstones. NUR-224. OBJECTIVES. Discus management of patient with cholelithiasis.. Use the nursing process a framework for care of –patients with cholelithiasis and undergoing laparoscopic or open cholecystectomy.. Harrison 2012. Baghbanian. M. MD . Bile Secretion and Composition. Hepatic bile . : . isotonic. . fluid with an electrolyte composition . resembling blood plasma. . Gallbladder. :. . water . reabsorption. Complete Surgical Removal of Gallbladder. Performed to Prevent or Treat Inflammation or Obstruction. Cholecystectomy . with/without Cholangiography . Biliary Tract. Gallbladder, cystic duct, common bile duct, and common hepatic duct. Leslie Kobayashi, MD. January 31, 2012. Anatomy. Liver. Bile ducts. Pancreas. Duodenum. Transverse colon. Anatomy. Fundus. Body. Infundibulum. /Neck. Cystic duct. Spiral Valves of . Dr. NADIA HAMEED. Bilirubin . Jundice. (Icterus). Jaundice. . Jaundice (. i.e.. , icterus), which results from an abnormally high accumulation of bilirubin in the blood leading to yellowish discoloration to the skin, sclera and deep tissues. . Haneen. Omar Abu Hani. Anatomy. The gallbladder lies on the underside of the liver . at . the junction of the right and left lobes of . the liver. . . It is . intraperitoneal, pear-shaped . sac, 7.5–12cm . Cholecystitis. is an inflammation of the gallbladder wall. The “attack” . usually subsides . in 2 to 3 days.. Bile . is used for the digestion of fats. It is produced in the liver and stored in . Diseases. Cholestasis is caused by impaired bile formation and bile flow that gives rise to accumulation of bile pigment in the hepatic parenchyma. . It can be caused by . extrahepatic. . or intrahepatic obstruction of bile channels, or by defects in hepatocyte bile secretion.. Functions of the liver . 252 . Jaundice . 263 . Biochemical tests for liver disease . 255 . Bile and gallstones . 264 . Diseases of the liver . 257 . Investigation of suspected liver disease . 266 . This chapter looks at the chemical pathology of liver . ANCC CONTACT HOURSAs Mr. R, 66, is going about his daily activities, he experiences severe upper-abdominal pain. He describes the pain as a pressure that begins in the epigastrium and spreads in a rad Level 1, 9 Caledonian Road, Christchurch 8013 P: (03) 961 6666 E: info@endoscopyclinic.co.nz GAL L STONES Gallstones are very common in most western countries. About 10% of adults have gallstones. G biliary tree in the body. Gallstone Disease: Introduction Calculous disease of the biliary tract is the general term applied to diseases of the gallbladder and biliary tree that are adi Dr. . Raad. A. AL-. Harmoosh. Al-. Toosi. University College. Department of Medical Laboratory Techniques. 4. th. Class. . Diagnostic Microbiology. Lecture #5. First semester . cholecystitis. and .