Pathophysiology - Choledocholithiasis u4h4t

PREDISPOSING/ NONMODIFIALBE

PRECIPITATIN G/ MODIFIABLE

GENDER: FEMALE

LIFESTYLE FERTILE DISEASE

AGE: 40 AGEING

MEDICATION SUCH AS CLOFIBRATE

ESTROGEN IN WOMEN

ILEAL DISEASE

PREGNANCY

INTESTINAL BY SURGERY

STARVATION

USE OF ORAL CONTRACEPTIVES SERUM BILE ACID SYNTHESIS

MALABSORPTIO N OF BILE SALTS

FEVER CHILLS PAIN

ALTERATION IN THE ABSORPTIVE CHARACTERISTIC OF THE MUCOSAL LAYER

ABSORPTION

EXCRETION OF GALL BLADDER SLUDGE

PRECIPITATION OF CHOLESTEROL/PIGM ENT CRYSTALS

CHEMICAL IRRITATION TO BALLDER INFLAMMATION OF THE GALLBLADDER

CHOLELITHIA SIS

NAUSEA/VOMITIN G EXCESSIVE BELCHING ABDOMINAL DISTENTION

CHOLESTEROL/PIG MENT STONE FORMATION IN THE GALL BLADDER OBSTRUCTION OF GALL STONES AND INFLAMMATION OF THE COMMON BILE DUCT

CHOLEDOCOLITHI ASIS SUPER SATURATION OF CHOLESTEROL IN THE BILE ON THE GALL BLADDER

BILE COMBINES WITH CHOLESTEROL IN THE LIVER

SLUGGISH BILE FLOW

HEPATIC SECRETION OF

CHOLECYSTI TIS

RAPID WEIGHT LOSS

FATTY LIVER

STONE FORMATION IN THE HEPATIC

DISLODGEMENT OF STONE IN THE COMMON BILE DUCT

SIGNS/SYMPTOMS MANIFESTED ON THE PATIENT: BILIARY COLIC JAUNDICE “YELLOWISH CONJUNCTIVA” TENDERNESS IN THE RIGHT UPPER QUADRANT OF THE ABDOMEN