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A gallstone

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I. Introduction
A. Overview of the disease
A gallstone is a crystalline concretion formed within the gallbladder by accretion
of bile components. These calculi are formed in the gallbladder, but may pass distally into other
parts of the biliary tract such as the cystic duct, common bile duct, pancreatic duct, or theampulla
of Vater.
Presence of gallstones in the gallbladder may lead to acute cholecystitis,
an inflammatory condition characterized by retention of bile in the gallbladder and often
secondary infection by intestinal microorganisms, predominantly Escherichia
coli and Bacteroides species. Presence of gallstones in other parts of the biliary tract can cause
obstruction of the bile ducts, which can lead to serious conditions such asascending
cholangitis or pancreatitis. Either of these two conditions can be life-threatening, and are therefore
considered to be medical emergencies.
As a final point, I aspire to discuss the condition of my client and talk about how I apply
the nursing process and utilize the concepts of medical and surgical nursing, specifically in
managing T/C Obstructed CBD stones vs. Hepatoma.
B. OBJECTIVE AND PURPOSE OF THE STUDY
This study is designed to identify health problems encountered by our client and further
understand the extent of the case. As student nurse, this would serve as a tool for my ground

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training from what I have learned in classroom discussions and be able to apply these in a real
hospital setting such as this case.
This case study focuses to accomplish the following objectives:
a. To establish rapport with the client.
b. To ascertain the content on the nursing assessment, diagnosis, planning, implementation,
and evaluation for this specific disease condition;
c. To comprehend on the underlying causes and health history on the client’s medical
diagnosis;
d. To compare & contrast the ideal and actual nursing care management for this specific
disease condition: and
e. To evaluate the effectiveness of the interventions and detect any progress or regression
of the client’s condition.
The purpose of the study is to understand thoroughly the client’s disease condition and
the factors involving the processes of the disease condition, which is T/C Obstructed CBD stones
vs. Hepatoma.
In general, this study aims to develop the skills and learning of the student, wherein I am
exposed and able to learn the genuine hospital setting in every case that they encounter.
Enhancing one’s understanding and competence is important to impart the best possible care to
client
B. Scope of the Study
The study focuses on Station 1, room 22, medical patient, admitted at Bukidnon Provincial
Medical Hospital at Malaybalay City, Bukidnon.

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I. Introduction A. Overview of the disease A gallstone is a crystalline concretion formed within the gallbladder by accretion of bile components. These calculi are formed in the gallbladder, but may pass distally into other parts of the biliary tract such as the cystic duct, common bile duct, pancreatic duct, or theampulla of Vater. Presence of gallstones in the gallbladder may lead to acute cholecystitis, an inflammatory condition characterized by retention of bile in the gallbladder and often secondary infection by intestinal microorganisms, predominantly Escherichia coli and Bacteroides species. Presence of gallstones in other parts of the biliary tract can cause obstruction of the bile ducts, which can lead to serious conditions such asascending cholangitis or pancreatitis. Either of these two conditions can be life-threatening, and are therefore considered to be medical emergencies. As a final point, I aspire to discuss the condition of my client and talk about how I apply the nursing process and utilize the concepts of medical and surgical nursing, specifically in managing T/C Obstructed CBD stones vs. Hepatoma. B. OBJECTIVE AND PURPOSE OF THE STUDY This study is designed to identify health problems encountered by our client and further understand the extent of the case. As student nurse, this would serve as a tool for my ground training from what I have learned in classroom discussions and be able to apply these in a real hospit ...
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