A Simple Guide to Cholecystitis, Diagnosis, Treatment and Related Conditions
A Simple Guide to Cholecystitis, Diagnosis, Treatment and Related Conditions
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Overview
This book describes Cholecystitis, Diagnosis and Treatment and Related Diseases
Cholecystitis is a medical disorder produced by acute or chronic inflammation of the gallbladder.
Acute cholecystitis is an acute inflammation of the gallbladder that causes severe abdominal pain.
Acute cholecystitis happens when bile becomes trapped in the gallbladder.
Accumulation of trapped bile produces inflammation and pressure in the gallbladder.
This can result in infection and a hole (perforation) in the gallbladder.
In 95% of cases, acute cholecystitis is induced by gallstones in the gallbladder.
Other causes are severe illness and (rarely) tumors of the gallbladder.
Chronic cholecystitis induces inflammation and swelling of the gallbladder that persists over time.
Calculous cholecystitis is the most frequent and normally less serious type of acute cholecystitis.
It is responsible for around 95% of all cases.
Calculous cholecystitis occurs when the main opening to the gallbladder, called the cystic duct, becomes blocked by a gallstone or by a substance known as biliary sludge.
Biliary sludge is a combination of bile (produced by the liver that digests fats) and small crystals of cholesterol and salt.
The blockage in the cystic duct leads from a build-up of bile in the gallbladder, raising the pressure inside it and causing it to become inflamed.
In 20% cases, the inflamed gallbladder may also become infected by bacteria.
Acalculous cholecystitis is a less frequent but normally more serious form of acute cholecystitis.
It normally forms as a complication of a serious illness, infection or injury that damages the gallbladder.
Acalculous cholecystitis is often linked with problems such as accidental injury to the gallbladder during major surgery, blood poisoning (sepsis), serious damages or burns, severe malnutrition or AIDS.
Acute Cholecystitis is normally produced by these:
1. Blockage of the cystic duct by a gallstone -most common cause 95%
2. Bacterial infection after obstruction in 50% of cases
3. Bacterial or viral infection after gastroenteritis-germs from the intestines going up the cystic duct into gallbladder.
Chronic cholecystitis is normally caused by repeated attacks of acute cholecystitis.
These attacks produce the walls of the gallbladder to thicken.
The gallbladder starts to shrink.
After a period of time, the gallbladder is less capable of concentrating, storing, and releasing bile.
The major symptom is pain in the upper right quadrant or upper middle portion of the abdomen.
1. Slow start of abdominal pain starting from the epigastrium, spreading to the right sub costal area, may be palpated in the back at the sub-scapular region that normally persists at least 30 minutes.
The pain linked with acute cholecystitis is normally persistent, and does not go away within a few hours.
2. Nausea and vomiting
3. Loss of appetite
Diagnosis can normally be made by:
1. Physical examination with a positive Murphy's sign.
The affected upper right part of the abdomen is normally extremely tender, and breathing deeply can make the pain worse.
2. Plain X-rays can show the presence of gallstones in 10-15% patients
3. Oral cholecystogram is 95% accurate
4. Ultrasound is highly reliable in showing up the presence of gallstones
Even though cholecystitis may clear with medical treatment, surgery to remove the gallbladder (Cholecystectomy) is normally needed when gallstones are present.
TABLE OF CONTENT
Introduction
Chapter 1 Cholecystitis
Chapter 2 Causes
Chapter 3 Symptoms
Chapter 4 Diagnosis
Chapter 5 Treatment
Chapter 6 Prognosis
Chapter 7 Acalculous Cholecystitis
Chapter 8 Cholangitis
Epilogue
Product Details
| BN ID: | 2940164956189 |
|---|---|
| Publisher: | Kenneth Kee |
| Publication date: | 07/02/2021 |
| Sold by: | Smashwords |
| Format: | eBook |
| File size: | 479 KB |
About the Author
Medical doctor since 1972.
Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.
Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.
Dr Kenneth Kee is still working as a family doctor at the age of 70.
However he has reduced his consultation hours to 3 hours in the morning and 2 hours in
the afternoon.
He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.
His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com
This autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.
From which many free articles from the blog was taken and put together into 1000 eBooks.
He apologized for typos and spelling mistakes in his earlier books.
He will endeavor to improve the writing in futures.
Some people have complained that the simple guides are too simple.
For their information they are made simple in order to educate the patients.
The later books go into more details of medical disorders.
He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.
The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.
He does not do any night duty since 2000 ever since Dr Tan had his second stroke.
His clinic is now relocated to the Buona Vista Community Centre.
The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.
He is now doing some blogging and internet surfing (bulletin boards since the 1980's) starting
with the Apple computer and going to PC.
The entire PC is upgraded by himself from XT to the present Pentium duo core.
The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.
He is also into DIY changing his own toilet cistern and other electric appliance.
His hunger for knowledge has not abated and he is a lifelong learner.
The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.
This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.
Dr Kee is the author of:
"A Family Doctor's Tale"
"Life Lessons Learned From The Study And Practice Of Medicine"
"Case Notes From A Family Doctor"