Presentation
Abstract The present study was carried out to evaluate the relative merits of ultrasonography and roentgenography in 50 cases of suspected cholecystolithiasis. [ncbi.nlm.nih.gov]
However, the combination of these 2 clinical presentations in the same gestation period is anecdotal. Neither DeMuro's case 5 nor those presented in their references were similar to ours in their form of presentation. [elsevier.es]
Choledocholithiasis may be suspected in patients presenting with abdominal pain and liver enzyme elevation. [cancertherapyadvisor.com]
Entire Body System
- Fever
[…] involves biliary pain, jaundice, and spiking fevers with chills (Charcot's triad). [errolozdalga.com]
Abstract A 70-year old male patient was admitted to hospital with fever and right upper quadrant pain. [ncbi.nlm.nih.gov]
Jaundice: Fever: Chills and fever are usually asociated with pain abdomen. Other symptoms: clay color stool. Dark urine. Symptoms associated with Pancreatitis. Charcot's Triad:[edit] Clasically seen in common-bile-duct-stone. [en.wikibooks.org]
malaise, anorexia Nausea and vomiting Acute cholecystitis should always be suspected in a patient with a history of gallstones who presents with RUQ pain, fever, and leukocytosis. [amboss.com]
Skin
- Pruritus
[…] no vomiting, no diarrhea; no jaundice; no acholic stools; no tea-colored urine Consult: EAMC OPD, scheduled for open cholecystectomy 6 1 week PTA Abdominal pain, RUQ associated with jaundice, undocumented febrile episodes No nausea, no vomiting, no pruritus [slideplayer.com]
Asthma No previous hospitalizations No allergies to food/drugs Family History Denies heredofamilial diseases Personal and Social History Non smoker Non alcoholic beverage drinker Review of Systems General: no fever, no anorexia, no weight loss Skin: no pruritus [rjaperalta.tripod.com]
A thorough review of systems will reveal that the patient may have noticed a yellowing of his eyes or skin, experienced pruritus, and possibly nausea or vomiting. [ncbi.nlm.nih.gov]
[…] common): history of cholelithiasis Clinical features [18][7] Colicky RUQ/epigastric pain More severe and prolonged (> 6 hours) than in cholelithiasis Postprandial Nausea, vomiting Signs of extrahepatic cholestasis: jaundice, pale stool, dark urine, pruritus [amboss.com]
Workup
Ultrasonography is the initial diagnostic procedure of choice in most cases of suspected gallbladder or biliary tract disease (see Workup). The treatment of gallstones depends upon the stage of disease. [emedicine.medscape.com]
The discussion in this chapter will focus primarily on the workup and manage- ment of patients with syndromes caused by CBD stones. [slideshare.net]
During the 2000s, a critical appraisal of management options[26-28] and the diffusion of new diagnostic examinations led to a more cautious, patient-tailored preoperative workup, based on patient risk of carrying CBDS[3,29,30], and management, based on [wjgnet.com]
Treatment
Further development is required if this technique is to be included in the alternative treatments for the management of gall stones. [ncbi.nlm.nih.gov]
Help me and my mother get her medical treatment and with your help, she will be gladly happy! [gogetfunding.com]
Prognosis
[…] ultrasound Magnetic resonance cholangiopancreatography (MRCP) Percutaneous transhepatic cholangiogram (PTCA) Your health care provider may order the following blood tests: Bilirubin Complete blood count (CBC) Liver function tests Pancreatic enzymes Outlook (Prognosis [account.allinahealth.org]
Treatment may involve: Surgery to remove the gallbladder and stones ERCP and a procedure called a sphincterotomy, which makes a surgical cut into the muscle in the common bile duct to allow stones to pass or be removed Outlook (Prognosis) Blockage and [nch.adam.com]
Treatment and prognosis Endoscopic retrograde cholangiopancreatography (ERCP) with sphincterotomy is the treatment of choice for choledocholithiasis, however, is associated with a complication rate of 5.8-24% (10 years follow-up) 1. [radiopaedia.org]
Etiology
Peak incidence: similar to cholelithiasis Etiology [7][1] Primary choledocholithiasis (less common): conditions predisposing to bile stasis → intraductal stone formation Cystic fibrosis Prolonged total parenteral nutrition Secondary choledocholithiasis [amboss.com]
[…] blood CF cerebrospinal fluid CI chemically induced CH chemistry CL classification CO complications CN congenital DI diagnosis DG diagnostic imaging DH diet therapy DT drug therapy EC economics EM embryology EN enzymology EP epidemiology EH ethnology ET etiology [decs.bvs.br]
Twice as common among women Increased prevalence among Hispanics, Asians, Native Americans Etiology and Pathophysiology CBD stones may be primary or secondary: Primary stones form within the biliary tract with bile stasis or chronic bactibilia. [unboundmedicine.com]
Epidemiology
Epidemiology of gallstone disease in Chile. In Capocaccia L, Ricci G, Angelico F, (eds.). Epidemiology and prevention of gallstone disease. Lancaster, England: MTP; 1984, pp. 26-30. [ Links ] 21. [scielo.cl]
Allowable Qualifiers English : BL blood CF cerebrospinal fluid CI chemically induced CH chemistry CL classification CO complications CN congenital DI diagnosis DG diagnostic imaging DH diet therapy DT drug therapy EC economics EM embryology EN enzymology EP epidemiology [decs.bvs.br]
Karger AG, Basel References Stinton LM, Shaffer EA: Epidemiology of gallbladder disease: cholelithiasis and cancer. Gut Liver 2012;6:172-187. Chuang SC, His E, Lee KT: Genetics of gallstone disease. Adv Clin Chem 2013;60:143-185. [karger.com]
Cholelithiasis, choledocholithiasis, cholecystitis, and cholangitis Summary Overview Cholelithiasis Epidemiology Etiology Clinical features Diagnostics Treatment Acute management checklist for biliary colic Complications Choledocholithiasis Epidemiology [amboss.com]
Pathophysiology
Update Date: 6/3/2008 Updated by: Linda Vorvick, MD, Seattle Site Coordinator, Lecturer, Pathophysiology, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine. [pacificschoolserver.org]
Review Date: 6/3/2008 Reviewed By: Linda Vorvick, MD, Seattle Site Coordinator, Lecturer, Pathophysiology, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine. [lutheranhealthcare.org]
Black pigment stones, ∼ 10% of all stones [3][1][4] Risk factors Chronic hemolytic anemias (e.g., sickle cell disease, hereditary spherocytosis) Cirrhosis Pathophysiology: ↑ hemolysis → increase in circulating unconjugated bilirubin → increased uptake [amboss.com]
Background Occurs when stone expelled from gallbladder becomes impacted in the common bile duct If infected, becomes Cholangitis Anatomy & Pathophysiology Gallstones are classified as cholesterol stones and pigmented stones (black and brown), and are [wikem.org]
Prevention
Get Rid of Gallstones Naturally One of the main home remedies that you need to follow to prevent gallstones is a healthy lifestyle. You need to maintain a healthy body weight to prevent gallstones. [doctorabel.us]
Leakage of bile should be prevented during laparoscopic cholecystectomy, even in patients not diagnosed as having cancer preoperatively. [ncbi.nlm.nih.gov]
[…] a healthy diet that is high in fiber may help prevent gallstone formation. [2] The medication ursodeoxycholic acid (UDCA) appears to prevent formation of gallstones during weight loss. [35] A high fat diet during weight loss also appears to prevent gallstones [en.wikipedia.org]
[…] diet therapy DT drug therapy EC economics EM embryology EN enzymology EP epidemiology EH ethnology ET etiology GE genetics HI history IM immunology ME metabolism MI microbiology MO mortality NU nursing PS parasitology PA pathology PP physiopathology PC prevention [decs.bvs.br]