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| Chapter 13 Workbook |
LEARNER OBJECTIVES
At the completion of this chapter, the learner will be able to:
Section 1: Gallstone Disease
1.1 Identify the two major types of gallstones.
1.2 Describe the pathophysiology involved in the formation of
gallstones.
1.3 Explain the risk factors for gallstone formation.
1.4 Describe the clinical features of gallstone formation.
1.5 List the tests used to diagnose gallstones.
1.6 Discuss the management protocols for asymptomatic and
symptomatic
patients with gallstone
disease.
Section 2: Cholecystitis
2.1 Differentiate between chronic calculous cholecystitis and acute
cholecystitis
with regard to clinical
features, diagnosis and management.
2.2 Discuss the complications that can result from acute
cholecystitis.
2.3 Discuss choledocholithiasis (common duct stones), including
classification,
clinical features, diagnosis,
and management.
Section 3: Noncalculous Gallbladder Disease
3.1 Differentiate between acute and chronic acalculous cholecystitis
with regard
to definition, clinical
presentation, diagnosis, and management.
3.2 Define cholecystoses, including cholesterolosis and adenomyosis.
3.3 Explain postcholecystectomy syndrome.
3.4 Discuss neoplasms of the gallbladder.
Section 4: Diseases of the Bile Duct
4.1 Discuss congenital disease of the bile duct, including Caroli's
disease,
congenital hepatic fibrosis,
choledochal cyst, Alagille's syndrome, and
biliary atresia.
4.2 Define cholangitis and sclerosing cholangitis.
4.3 Describe benign and cancerous tumors of the bile duct.
LEARNER WORKBOOK
EXERCISE 1
1.0 List two major types of gallstones.
1.1 What are the three stages of cholesterol gallstone formation?
1.2 Fill in the blanks in the following table:
| Risk
factors for gallstone formation: |
| Factor |
Pigment
Stone |
Cholesterol
Stone |
| Race |
| Familial |
| Diet |
| Gallbladder
stasis |
| Associated
disease |
1.3 Briefly describe the clinical features of gallstone formation,
including
laboratory tests, presenting
signs, and symptoms.
1.4 How are gallstones diagnosed?
1.5 Discuss three management strategies for gallstones.
1.6 What is the difference between open and laparoscopic
cholecystectomy?
EXERCISE 2
2.0 What is the difference between chronic calculous cholecystitis
and acute
cholecystitis with regard to
definition, clinical features, diagnosis, and
management?
2.1 Describe four complications of acute cholecystitis.
2.2 Define the following common duct stones: primary, secondary,
residual,
recurrent.
2.3 What are the clinical features of common duct stones?
2.4 How is cholangitis managed?
EXERCISE 3
3.0 What is the difference between acute and chronic acalculous
cholecystitis
with regard to definition and
clinical presentation?
3.1 What is cholesterolosis?
3.2 Describe the postcholecystectomy syndrome.
3.3 Give two major risk factors for neoplasms of the gallbladder.
3.4 What are the clinical features of gallbladder carcinoma?
EXERCISE 4
4.0 Describe 5 congenital diseases of the bile duct.
4.1 What is cholangitis?
4.2 What is primary sclerosing cholangitis?
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