Examination: Bile Production, Hepatic Bile Secretion, Gallbladder Storage
Physiology, Fat Emulsification Digestion, Fat-Soluble Vitamin Absorption,
Cholesterol Gallstone Formation, Acute Cholecystitis Inflammatory
Pathophysiology, Cholelithiasis Biliary Calculi Disease, Cystic Duct Obstruction,
Biliary Colic Pain Syndrome, Right Upper Quadrant Tenderness, Referred
Shoulder Scapular Pain, Nausea Vomiting Diaphoresis Response, Jaundice
Hyperbilirubinemia Manifestations, Steatorrhea Fat Malabsorption, Clay
Colored Stool Indicator, Dark Amber Urine Sign, Pruritus From Bile Salt
Accumulation, Leukocytosis Inflammatory Marker, Liver Enzyme Elevation AST
ALT, Diagnostic Abdominal Ultrasound Imaging, Endoscopic Retrograde
Cholangiopancreatography Procedure, Magnetic Resonance
Cholangiopancreatography Imaging, Laparoscopic Cholecystectomy Surgical
Management, Open Cholecystectomy Subcostal Incision, T Tube Biliary Drainage
Management Exam Questions Verified and Provided with Complete A+ Graded
Rationales Latest Updated 2026
Where is bile produced?
What is the function of bile?
bile is produced in the liver, stored in the gallbladder, and released into the small intestine to aid in the
digestion and absorption of fats, as well as the excretion of waste products. Its emulsifying properties
are essential for breaking down fats into smaller particles, facilitating their absorption by the body.
What is the difference between Cholecystitis and Cholelithiasis?
cholecystitis refers to inflammation of the gallbladder, often associated with gallstones, while
cholelithiasis specifically refers to the presence of gallstones within the gallbladder or bile ducts.
Cholecystitis can be a complication of cholelithiasis, but not all cases of cholelithiasis lead to
cholecystitis.
,what color is bile & how much bile can the gallbladder store?
it is green
45 mL
Pathophysiology of Acute Cholecystitis
Usually due to obstruction of cystic duct .
blocks outflow of bile
back up in the GB
ischemia and inflammation of the GB
Can lead to gangrene and rupture of the GB
what are gallstones primarily composed of?
cholesterol
Cholecystitis: Symptoms
§Indigestion
§RUQ pain and tenderness
§Pain can be moderate to severe
§May have abdominal rigidity
§Pain may radiate to right shoulder and scapula
, §Pain may be accompanied by
§N/V
§Restlessness
§Diaphoresis
§Inflammation s/s: ↑ WBC, fever & chills
may have jaundice
Pathophysiology of Cholelithiasis
Many have no symptoms
silent cholelithiasis
Symptoms occur when a stone moves through or blocks the cystic or common bile duct.
biliary colic
Cholelithiasis: Risk Factors
§More common in women
§especially multiparous and over age 40
§Estrogen replacement