Cholecystitis resident survival guide: Difference between revisions

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! Terms!! Definitions
! Terms!! Definitions
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| Cholecystitis|| Cholecystitis is an inflammatory disease of the gallbladder.  
| Cholecystitis|| Cholecystitis is an inflammatory disease of the gallbladder.
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| Acute cholecystitis|| Acute cholecystitis is an acute inflammatory disease of the gallbladder, most often attributable to gallstones.<ref name="Strasberg-2008">{{Cite journal  | last1 = Strasberg | first1 = SM. | title = Clinical practice. Acute calculous cholecystitis. | journal = N Engl J Med | volume = 358 | issue = 26 | pages = 2804-11 | month = Jun | year = 2008 | doi = 10.1056/NEJMcp0800929 | PMID = 18579815 }}</ref><ref name="Reiss-1993">{{Cite journal  | last1 = Reiss | first1 = R. | last2 = Deutsch | first2 = AA. | title = State of the art in the diagnosis and management of acute cholecystitis. | journal = Dig Dis | volume = 11 | issue = 1 | pages = 55-64 | month =  | year = 1993 | doi =  | PMID = 8443956 }}</ref>
| Acute cholecystitis|| Acute cholecystitis is an acute inflammatory disease of the gallbladder, most often attributable to gallstones.<ref name="Strasberg-2008">{{Cite journal  | last1 = Strasberg | first1 = SM. | title = Clinical practice. Acute calculous cholecystitis. | journal = N Engl J Med | volume = 358 | issue = 26 | pages = 2804-11 | month = Jun | year = 2008 | doi = 10.1056/NEJMcp0800929 | PMID = 18579815 }}</ref><ref name="Reiss-1993">{{Cite journal  | last1 = Reiss | first1 = R. | last2 = Deutsch | first2 = AA. | title = State of the art in the diagnosis and management of acute cholecystitis. | journal = Dig Dis | volume = 11 | issue = 1 | pages = 55-64 | month =  | year = 1993 | doi =  | PMID = 8443956 }}</ref>
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===Management===
===Management===
{{familytree/start |summary=Cholecystitis}}
{{familytree | | | | | | | | | | | | | A01 | | | | | | | | | | | | | | |A01='''Characterize the symptoms'''}}
{{familytree | | | | | | | | | |,|-|-|-|+|-|-|-|.| | | | | | | | | | | | | | | | | }}
{{familytree | | | | | | | | | B01 | | B02 | | B03 | | | | | | | | | | | | | | | |B01=<div style="float: left; text-align: left; line-height: 150% ">❑ Acute biliary type abdominal pain<div class="mw-collapsible-content"> <div class="mw-collapsible mw-collapsed">
:❑ Right upper quadrant or epigastric pain
:❑ Sharp, severe and steady pain
:❑ Pain for >6 hours
:❑ Pain radiating to right shoulder blade
:❑ Pain after food intake
:❑ Pain aggravated by movements
:❑ Pain associated with nausea & vomiting
:❑ Pain associated with diaphoresis
:❑ Pain associated with fever
:❑ Pain associated with anorexia</div></div><br>❑ Sx suggestive of sepsis<br>❑ Sx suggestive of Mirizzi syndrome<div class="mw-collapsible-content"> <div class="mw-collapsible mw-collapsed">
:❑ RUQ pain with fever & jaundice</div></div><br>❑ Sx suggestive of gallstone ileus<div class="mw-collapsible-content"> <div class="mw-collapsible mw-collapsed">
:❑ Transient abdominal pain with nausea & vomiting
:❑ Hematemesis</div></div></div>|B02=<div style="float: left; text-align: left; line-height: 150% ">❑ Vague abdominal pain<br>❑ RUQ mass<br>❑ Jaundice</div>|B03=<div style="float: left; text-align: left; line-height: 150% ">❑ Recurrent biliary type abdominal pain<br>❑ Recurrent abdominal bloating<br>❑ Unstable stool with constipation/diarrhea</div> }}
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Revision as of 05:18, 8 January 2014

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Vendhan Ramanujam M.B.B.S [2]

Cholecystitis

Definitions

Terms Definitions
Cholecystitis Cholecystitis is an inflammatory disease of the gallbladder.
Acute cholecystitis Acute cholecystitis is an acute inflammatory disease of the gallbladder, most often attributable to gallstones.[1][2]
Acute calculous cholecystitis Acute calculous cholecystitis is an acute inflammatory disease of the gallbladder in the presence of cholelithiasis.[1]
Acute acalculous cholecystitis Acute acalculous cholecystitis is an acute necroinflammatory disease of the gallbladder in the absence of cholelithiasis and has a multifactorial pathogenesis.[3]
Chronic cholecystitis Chronic cholecystitis is a chronic inflammatory disease of the gallbladder with histological evidence of chronic inflammation like large range of related inflammatory epithelial changes including mononuclear infiltrate, fibrosis, thickening of muscular layer, dysplasia, hyperplasia and metaplasia.[4]

Causes

Life Threatening Causes

Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.

Common Causes

Management

References

  1. ↑ 1.0 1.1 Strasberg, SM. (2008). "Clinical practice. Acute calculous cholecystitis". N Engl J Med. 358 (26): 2804–11. doi:10.1056/NEJMcp0800929. PMID 18579815. Unknown parameter |month= ignored (help)
  2. ↑ Reiss, R.; Deutsch, AA. (1993). "State of the art in the diagnosis and management of acute cholecystitis". Dig Dis. 11 (1): 55–64. PMID 8443956.
  3. ↑ Huffman, JL.; Schenker, S. (2010). "Acute acalculous cholecystitis: a review". Clin Gastroenterol Hepatol. 8 (1): 15–22. doi:10.1016/j.cgh.2009.08.034. PMID 19747982. Unknown parameter |month= ignored (help)
  4. ↑ Zhou, D.; Guan, WB.; Wang, JD.; Zhang, Y.; Gong, W.; Quan, ZW. (2013). "A comparative study of clinicopathological features between chronic cholecystitis patients with and without Helicobacter pylori infection in gallbladder mucosa". PLoS One. 8 (7): e70265. doi:10.1371/journal.pone.0070265. PMID 23936177.


Template:WikiDoc Sources

 
 
 
 
 
 
 
 
 
 
 
 
Characterize the symptoms
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
❑ Acute biliary type abdominal pain
❑ Right upper quadrant or epigastric pain
❑ Sharp, severe and steady pain
❑ Pain for >6 hours
❑ Pain radiating to right shoulder blade
❑ Pain after food intake
❑ Pain aggravated by movements
❑ Pain associated with nausea & vomiting
❑ Pain associated with diaphoresis
❑ Pain associated with fever
❑ Pain associated with anorexia

❑ Sx suggestive of sepsis
❑ Sx suggestive of Mirizzi syndrome
❑ RUQ pain with fever & jaundice

❑ Sx suggestive of gallstone ileus
❑ Transient abdominal pain with nausea & vomiting
❑ Hematemesis
 
❑ Vague abdominal pain
❑ RUQ mass
❑ Jaundice
 
❑ Recurrent biliary type abdominal pain
❑ Recurrent abdominal bloating
❑ Unstable stool with constipation/diarrhea
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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