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This Concept Map, created with IHMC CmapTools, has information related to: gallstones, cholesterol/ mixed types type II (rare) single ɮ.5cm lucent 100% cholesterol, rapid weight loss incrs risk for gallstones, types 80% cholesterol/ mixed, 2.nucleation inhibitors apolipoproteins, 2.nucleation from lecithin vesicles, gallstones ???? types, daily CCK prevents risk from total parenteral nutrition, obesity incrs risk for gallstones, cholesterol/ mixed types type I multiple ɚ.5cm 33% opaque ᡴ% cholesterol, cholesterol/ mixed 3 stages 3.growth, glucaro 1:4 lactone inhibits b-glucuronidase from tissue, bacteria, brown pt: orientals bile stasis, infxn, diet multiple most ɚ.5cm lucent GB & bile duct 50-60% Ca billirubinate CaCO3 polymerized (hard) pathogenesis b-glucuronidase from tissue, bacteria, calcium/ pigment types brown pt: orientals bile stasis, infxn, diet multiple most ɚ.5cm lucent GB & bile duct 50-60% Ca billirubinate CaCO3 polymerized (hard), cholesterol/ mixed 3 stages 1.saturation - nec. condition, calcium/ pigment types black black to brown color - pt: occidental - hemolysis, aging, - cirrhosis, GB emptying - multiple - ɚ.5cm - 50% opaque 40-60% calcium billirubinate 15% cholesterol monomeric (soft), cholesterol/ mixed 3 stages 2.nucleation, cholesterol/ mixed pathogenesis imp factors Supersaturation of bile with cholesterol Increase in nucleation factors Decrease in antinucleation factors Mucin production Delayed emptying of gallbladder, b-glucuronidase from tissue, bacteria forms Ca billirubinate, b-glucuronidase from tissue, bacteria breaks down bilirubin diglucuronide, monoglucuronide, 2.nucleation promoters mucin (mucous glycoprotein) some glycoproteins IgM, IgA