Gallstones Research Paper

When gallstones are suspected to be the cause of symptoms, the doctor is likely to do an ultrasound exam or CT Scan, the most sensitive and specific test for gallstones. Other exams that may be performed are a Cholescintigraphy a.k.a. HIDA (hepatobiliary iminodiactec acid) Scan, ERCP (endoscopic retrograde cholangiopancreatography), and blood tests.

When I became sick I later found out it was due to gallbladder issues. I was having severe chest pains and I couldn’t keep any food down, not even crackers. I was never aware of the cause of this till I was hospitalized with the worst chest pain. I had over eight hours of chest pains

I knew the severe symptoms that I had were not characteristic of gallbladder disease. Particularly not in the beginning, when there was only a very small amount of gallbladder sludge. The very elevated liver enzymes I had were also a mystery because they also do not occur when there is gallbladder sludge alone. They can occur when there is sludge blocking a duct, but there never appeared to be any obstructed ducts in either of the ultrasounds I had during that

Patients present with left lower quadrant pain, reiterating the tendency for diverticulitis to affect the sigmoid colon in western countries. The pain can be constant or intermittent, and lack of appetite, or nausea and vomiting can be present. Physical examination of the abdomen reveals localized tenderness but frank rebound or guarding should be negative. Bowel sounds are frequently distant or depressed, if bowel sounds are very active an obstruction may be present, in mild cases the bowel sounds may be normal. The WBC may be elevated and the patient may present with a fever. Occasionally a palpable mass may be felt and may be very painful. Eating exacerbated the pain of left-sided diverticulitis and pain can be lessened with the passage of feces or flatus. Patients may complain of a feeling of being bloated.

The Disease have always been cured through the hospital system, medication, however, recently it has begun a movement stated we should depend less on our medication. Base on statics publish for the center for disease as of 2012, about half of all adults—117 million people—had one or more chronic health conditions. One of four adults had two or more chronic health conditions. Among those disease diversities is one the disease. Diverticulitis is a disease when pouches form in the wall of the colon. If these pouches get inflamed or infected, it is called diverticulitis. Therefore, diverticula have always been a serious disease in the United States; thus there has been several of a reason for causing the disease. Research has dictated

Coders has to make sure they are putting the decimal in the right place for proper ICD-10 codes in order to get the correct diagnosis. Example Pain in gallbladder K82.9 If it looked like K82 as a coder we would know this not correct and would cause a issue with getting this paid,or the computer kicking it back with error.

Other symptoms of gall stone formation in your body are decreased appetite, severe pain by your left side, vomiting, low grade fever, abdominal distention, flatulence, elevated cholesterol level and taking deep breaths causes you pain.

Mr. Johnson’s reason for driving himself to the emergency room and the symptoms he is experiencing in conjunction with test, and lab results led me to this conclusion. Johnson noticed pain from his epigastric region, radiating to the right shoulder and scapular region. During his emergency room physical exam the physician noted, palpation of the epigastric region demonstrated tenderness with guarding, an above normal body temperature, increased blood pressure, as well as an increased heart rate. The increase in body temperature can be linked to a gallbladder infection. The pain Mr. Johnson is feeling radiating to the

Sudden and severe pain in the abdomen, most often under the right rib cage. The pain can spread to the right shoulder and right back. It occurs most often after a plentiful, fatty meal and lasts 1-4 hours.

The ultrasound will look for the presence of gallstones, inflammation of the liver, blockage of the bile duct, thickened gallbladder walls or an oversized bile duct tract. An ultrasound can detect gallstones that are two millimeters or larger in size.

The removed gallbladder was placed in a 10% formalin solution, to uphold the integrity of the specimen. It was labeled with patient’s name, date of birth, medical record number, surgeon, healthcare facility, type of specimen and date and time of specimen collection. This data was verified by the same scrub and scout nurses, for consistency and in

Ganglion cysts are most often diagnosed based on a physical exam. Your health care provider will feel the lump and may shine a light alongside it. If it is a ganglion, a light often shines through it. Your health care provider may order an X-ray, ultrasound, or MRI to rule out other conditions.

Gallstones may sometimes cause certain symptoms. These symptoms include Chronic Indigestion, which have symptoms such as nausea, heartburn and bloating.

Bile duct leak is an infrequent but serious disorder. The cause of bile duct leak can be either iatrogenic or more rarely, traumatic. (1) The great majority (95%) occurs after hepatobiliary surgery and the most common cause is related to open and laparoscopic cholecystectomy. (2) Biliary injury occur in 0.1 - 0.2 % and 0.3 - 0.8 % after open and laparoscopic cholecystectomy respectively. (3)

The following questions may be asked to aid in helping to assess Patient A for cholelithiasis or cholescystitis: “Have you had any trouble with heartburn, passing gas, epigastric pain, or any trouble with eating fatty food or cabbage?” (Huether & McCance, 2012). The patient may be able to describe pain in the right upper quadrant 30 minutes after eating a fatty meal. If the pain is intermittent or steady with pain radiating to the mid upper back it could indicate a gallstone is located in the common duct (Huether & McCance, 2012). Ultrasounds and abdominal CT scans with contrast would be beneficial in helping to determining if there is any blockage and the next step in treatment. The doctor may also chose to have lab work done and order the follow lab work: amylase, and lipase, bilirubin, CBC, and liver function tests. AST and ALT values may be elevated as well as increased Bilirubin levels if a patient is suffering from cholelithiasis. The greater the serum Bilirubin level (greater than 3mg/dL) the greater indicator the patient has gallstones (Heuman, 2015). If the Patient A is suffering from acute cholecystitis (inflammation of the bile duct) it may clear up on its own with antibiotics dietary changes, pain medications and rest. If Patient A is dealing with acute cholethiasis (gallstones visible on ultrasounds and CT scans) then laparoscopic cholecystectomy is recommended course of treatment verses open abdominal