Cholecystitis: Difference between revisions
David Martin (talk | contribs) No edit summary |
No edit summary |
||
| Line 1: | Line 1: | ||
<div class="noeditbox">Welcome to [[Pathophysiology of Complex Patient Problems|PT 635 Pathophysiology of Complex Patient Problems]] This is a wiki created by and for the students in the School of Physical Therapy at Bellarmine University in Louisville KY. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!</div> <div class="editorbox"> | [[Category:Bellarmine Student Project]]<div class="noeditbox">Welcome to [[Pathophysiology of Complex Patient Problems|PT 635 Pathophysiology of Complex Patient Problems]] This is a wiki created by and for the students in the School of Physical Therapy at Bellarmine University in Louisville KY. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!</div> <div class="editorbox"> | ||
'''Original Editors '''- [[Pathophysiology of Complex Patient Problems|Students from Bellarmine University's Pathophysiology of Complex Patient Problems project.]] | '''Original Editors '''- [[Pathophysiology of Complex Patient Problems|Students from Bellarmine University's Pathophysiology of Complex Patient Problems project.]] | ||
| Line 18: | Line 18: | ||
Chronic Cholecystitis is long standing gall bladder inflammation most always caused by gallstones (Merck Manual) | Chronic Cholecystitis is long standing gall bladder inflammation most always caused by gallstones (Merck Manual) | ||
{{#ev:youtube|gxGvP3GV_1E}} | {{#ev:youtube|gxGvP3GV_1E}} | ||
== Prevalence == | == Prevalence == | ||
| Line 39: | Line 39: | ||
If a patient presents with any of the following should be advised to see their doctor immediately:<br> | If a patient presents with any of the following should be advised to see their doctor immediately:<br> | ||
*prolonged pain—more than 5 hours | *prolonged pain—more than 5 hours | ||
*nausea and vomiting | *nausea and vomiting | ||
*fever—even low-grade—or chills | *fever—even low-grade—or chills | ||
*yellowish color of the skin or whites of the eyes | *yellowish color of the skin or whites of the eyes | ||
*clay-colored stools (NDDIC)<br> | *clay-colored stools (NDDIC)<br> | ||
| Line 69: | Line 69: | ||
Complete Blood Cell Count (CBC) | Complete Blood Cell Count (CBC) | ||
Liver Function Test (Merck Manual) | Liver Function Test (Merck Manual) | ||
== Causes == | == Causes == | ||
| Line 81: | Line 81: | ||
== Medical Management (current best evidence) == | == Medical Management (current best evidence) == | ||
{| cellspacing="1" cellpadding="1 | {| width="100%" cellspacing="1" cellpadding="1" | ||
|- | |- | ||
| {{#ev:youtube|7tTGfYCqH5w|300}} | | {{#ev:youtube|7tTGfYCqH5w|300}} | ||
| Line 109: | Line 109: | ||
== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == | == Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == | ||
see tutorial on [[ | see tutorial on [[Adding PubMed Feed|Adding PubMed Feed]] | ||
<div class="researchbox"> | <div class="researchbox"> | ||
<rss>Feed goes here!!|charset=UTF-8|short|max=10</rss> | <rss>Feed goes here!!|charset=UTF-8|short|max=10</rss> | ||
</div> | </div> | ||
== References == | == References == | ||
Revision as of 13:02, 24 February 2010
Original Editors - Students from Bellarmine University's Pathophysiology of Complex Patient Problems project.
Lead Editors - Your name will be added here if you are a lead editor on this page. Read more.
Definition/Description[edit | edit source]
Cholecystitis is inflammation of the gallbladder and can be acute or chronic (Merck Manual).
Acute Cholecystitis
Inflammation of the gallbladder that develops over hours, usually resulting from a cystic duct obstruction by a gallstone (merck manual).
Chronic Cholecystitis
Chronic Cholecystitis is long standing gall bladder inflammation most always caused by gallstones (Merck Manual)
Prevalence[edit | edit source]
add text here
Clinical Presentation
[edit | edit source]
- Right Upper Quadrant Pain and tenderness especially near the right subcostal region
- Low grade fever to high grade fever
- Chills
- Nausea
- Vomitting (Merck Manual)
- Abdominal Pain
- Rigors with rebound tenderness or ileus
- Pain in the back between the shoulder blades (NDDIC)
If a patient presents with any of the following should be advised to see their doctor immediately:
- prolonged pain—more than 5 hours
- nausea and vomiting
- fever—even low-grade—or chills
- yellowish color of the skin or whites of the eyes
- clay-colored stools (NDDIC)
Associated Co-morbidities[edit | edit source]
add text here
Medications[edit | edit source]
add text here
Diagnostic Tests/Lab Tests/Lab Values[edit | edit source]
Cholecystitis is usually diagonsed with the use of ultrasound
The following are also tests that can be used to diagnose cholecystitis
Cholescintigraphy (Merck Manual)- the patient is injected with a small amount of radioactive material and is absorbed by the gallbladder. Then the gall bladder is stimulated to see how well it contracts or if there is an obstrucion within the bile ducts (NDDIC).
Abdominal CT scan
Magnetic Resonance Cholangiography
Complete Blood Cell Count (CBC)
Liver Function Test (Merck Manual)
Causes[edit | edit source]
add text here
Systemic Involvement[edit | edit source]
add text here
Medical Management (current best evidence)[edit | edit source]
Physical Therapy Management (current best evidence)[edit | edit source]
add text here
Alternative/Holistic Management (current best evidence)[edit | edit source]
add text here
Differential Diagnosis[edit | edit source]
add text here
Case Reports[edit | edit source]
add links to case studies here (case studies should be added on new pages using the case study template)
Resources
[edit | edit source]
add appropriate resources here
Recent Related Research (from Pubmed)[edit | edit source]
see tutorial on Adding PubMed Feed
Extension:RSS -- Error: Not a valid URL: Feed goes here!!|charset=UTF-8|short|max=10
References[edit | edit source]
see adding references tutorial.
