Choledocholithiasis (Nursing)

00:00 Angry gallbladder right here is an inflamed gallbladder and cholecystitis is the inflammation of that gallbladder.

00:07 It can be a complication of gallstones or even just the sludge.

00:11 Hey, I've got a new chole- word for you there.

00:15 So, let's talk about choledocholiathiasis. That's bile duct blockage.

00:20 That means a gallstone has lodged in any part of the hepatobiliary system.

00:25 So, with choledocholithiasis, gallstones are within the common bile duct or actually, any part of that system.

00:33 The blockage for common bile duct can lead to inflammation everywhere.

00:37 Look at that circle. Okay, see what we have circled for you there? That's that stone that we've been referring to throughout this video series.

00:44 It's all the way down toward the end of the hepatobiliary system.

00:48 So, everything upstream can have problems or inflammation.

00:53 That's why you see listed in your notes there, hepatitis, that means the liver's inflamed, cholecystitis, the gallbladder's inflamed, or pancreatitis.

01:03 Now, if we're gonna put them in order from where that stone is, you start at the bottom.

01:08 You got pancreatitis possible. It travels up, you'd have cholecystitis possible.

01:13 Then you've got hepatitis in the liver.

01:15 Keep in mind, that's not caused by a virus like hepatitis A, B, or C.

01:20 That just straight up means inflammation of the liver and it's caused by a gallstone being lodged in the hepatobiliary system.

01:28 I wanted to ask you this question.

01:31 So, you're aware that gallstones don't just form in the gallbladder.

01:35 Gallstones can form anywhere there is bile.

01:38 Now, it's true, they're usually in the gallbladder, but they're possible anywhere there is bile in the ducts.

01:44 So, look, we've added the words in there for you: the hepatic duct, the cystic duct, the common bile duct.

01:50 It can even be within the liver and the intrahepatic, hepatic, common bile duct, all of those.

01:56 Anywhere there is bile, a stone can form.

02:00 Now, usually you are going to see them in the gallbladder like we've discussed, but just keep in mind, anywhere there is bile, there can be stones.