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VI.

Pathophysiology
Modifiable Factor: Diet Lifestyle Ingestion of high cholesterol foods Non-Modifiable Factor: Age Genes

Liver with help of bilirubin will digest cholesterol

Excess Cholesterol

Cholesterol in normal levels is constituent of bile and Insoluble in water

Increase bile acid synthesis Depends on bile acids and lecithin (phospholipids) Precipitates out of the bile to form crystal stones

Formation of gallstones

Increase irritant that produces inflammatory changes in gallbladder

Migration of a gallstone into the opening of the cystic duct may block the outflow of bile during gallbladder contraction.

Severe pain in the right upper quadrant, the pain is referred to as biliary colic

Increase number and size of gallstones

Increase in gallbladder wall tension produces a characteristic type of pain.

Cystic duct obstruction

Acute gallbladder inflammation (Acute cholecystitis)

(Acute cholecystitis Pain in the right upper quadrant

Pain Scale of 9/10

Jaundice

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