PILA, LIZA AINGELICA B.

APRIL 19, 2021

III-B NURSING MA’AM ALCANTARA

REFLECTIVE JOURNAL

Today, 19th of April 2020, we discussed about some of the accessory organ
disorders, cholelithiasis and hepatitis.

The instructor started the class by discussing the overview of the anatomy and
physiology of the gallbladder. Gallstones are pieces of solid material that form in a small
organ under your liver also known as the gallbladder. The gallbladder stores and
releases bile, a fluid made in your liver, to help in digestion. Bile also carries wastes like
cholesterol and bilirubin, which our body makes when it breaks down red blood cells.
These things can form gallstones. Cholelithiasis is the formation of gallstones and it can
be caused when there’s too much cholesterol in our bile. We all know that our body
needs bile for digestion and it usually dissolves cholesterol. When it can’t do that, the
extra cholesterol might for stones. Gallstones can also form when there’s too much
bilirubin in bile. This can occur when the patient is suffering with conditions like
infections, cirrhosis, and blood disorders. The instructor also mentioned the diagnostic
tests to evaluate the gallbladder some of which are cholecystography, a radiological
procedure to visualize gallbladder. Another is the liver function test. Although
these tests are not done specifically for gallstone disease, a simple blood test looking at
the enzyme levels in the liver can show inflammation in the gallbladder caused
by gallstones.

After the discussion, we had a short quiz about the previous diseases that we
discussed to assess what we've learned. Today was a productive day, the diseases
were discussed very well.