Chapter 37 Alterations in function of gallbladder and exocrine pancreas

More than half of the initial cases of pancreatitis are associated with

alcoholism

Chronic pancreatitis may lead to

diabetes mellitus malabsorption weight loss

The definitive treatment for cholecystitis is

Cholecystectomy

Which digestive enzyme is secreted from the intestinal mucosa during a meal

Cholecystokinin and secretin

Chronic cholecystitis can lead to

Biliary sepsis Calcified gallbladder Porcelain gallbladder Higher risk of cancer

Patients who may be at risk for development of cholesterol gallstones include

High spinal cord injuries Patients receiving total parenteral nutrition Patients with rapid weight loss Pregnant women Use of oral contraceptives Obesity Diabetes

A patient with pancreatitis may experience muscle cramps secondary to

Hypocalcemia

The finding of hypotension, rigid abdomen, and absent bowel sounds in a pt with pancreatitis

Indicates peritonitis with substantial risk for sepsis and shock

Associated laboratory findings of acute pancreatitis include

Leukocytosis Hyperlipidemia Hypocalcemia

Narcotic administration should be administered carefully in patients with acute pancreatitis related to potential for

Sphincter of Oddi dysfunction

The pain associated with chronic pancreatitis is generally described as

Steady and boring in nature Nausea Located in the upper abdomen particularly in the epigastrium, and radiates to the back

It is true that biliary cancer

Tend to be asymptomatic and progress insidiously

It is true that gallstones are

Twice as common in women as in men Native Americans- susceptible to gallstones

Most gallstones are composed of

cholesterol

A biliary cause of acute pancreatitis is suggested by an elevated in which serum laboratory results?

Alkaline phosphatase and bilirubin levels

Untreated acute cholecystitis may lead to

Gangrene of the gallbladder wall

The most challenging aspect of treatment for chronic pancreatitis is

Pain control

Elevated serum lipase and amylase levels are indicative of

Pancreatitis

Patients with acute pancreatitis are generally made NPO and may require continuous gastric suctioning in order to

Remove the usual stimuli for pancreatic secretion

Normal bile is composed of

Water, electrolytes, and organic solutes