A 44 year old slightly obese female presents to your E R

Last updated: 5/22/2023

A 44 year old slightly obese female presents to your E R with spasmodic colicky pain in her right upper abdominal quadrant with some right shoulder discomfort and accompanying nausea and vomiting She reports that she has been running a fever over the past twenty four hours On physical exam you note heart rate 110 blood pressure 110 70 respiratory rate 20 and temperature 102 She is noticeably uncomfortable on deep inspiration and palpation reveals an increase in pain while palpating the RUQ The physician suspects that the patient is suffering from an acute episode of cholecystitis and orders an ultrasound study The study reveals a large stone lodged within the cystic duct The patient is prepped for a laparoscopic cholecystectomy a What is cholecystitis b What are some of the risk factors for cholecystitis Reference lecture notes c What are the three anatomical parts of the gallbladder one would visualize on an ultrasound d Why is the patient experiencing right shoulder discomfort e The surgeon must also remove the cystic duct What other duct remains and how will this change the overall flow of bile into the duodenum