Galltone Gallbladder Case Study

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

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

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.

Gallstones hold a very close annoying factor in my heart. As a registered nurse in a very busy Emergency Room, I find myself dealing with at least 2-4 gallstone/pain ER admits on every shift. I believe that one of the main reasons for the recurrent visits is due to the lack of education regarding their diet. My goal with this Outreach Project was to provide education regarding a healthy diet along with quick references to both the inappropriate and appropriate foods needed in order to manage the diagnosis of gallstones.

Crohn’s disease is a form of inflammatory bowel disease (IBD) that could occur anywhere from the mouth to the rectum. However, it usually affects the intestines (Longstreth, 2010). Like many illnesses, there is no cure for Crohn’s as the exact cause of it is unknown. There are a number of tests and procedures available that aide in making the diagnosis of Crohn’s disease. Stool cultures and blood work can suggest IBD but may not directly indicate the disease. Barium enemas, computed tomography (CT), and magnetic resonance imaging (MRI) are useful exams but the preferred method involves scoping via endoscopy. Endoscopy allows physicians to view the digestive tract, often

The current approaches to surgical management of gallstone ileus are: (1) enterolithotomy, cholecystectomy and fistula repair (single-stage surgery), (2) enterolithotomy with delayed cholecystectomy and fistula closure (two-stage surgery) and (3) simple enterolithotomy (most reported surgical procedure). Proponents of the single-stage procedure cite recurrence and increased risk of developing cholangitis or gallbladder carcinoma as reasons for performing concurrent cholecystectomy and fistula closure [18]. Those who support the two-stage procedure or simple enterolithotomy point to high mortality rates of single-stage procedures and low rates of recurrence and gallbladder carcinoma as reasons

Diagnosing the disease can be relatively simple, but this depends on accurate patient history and ones ability to recognize varied clinical signs and then perform diagnostic procedures. These diagnostic procedures may include antigen testing, x-rays, ultrasonography, angiography, a complete blood count, the Knott’s or Filter test, and in the worst case necropsy.

Your gallbladder contains bile. The bile consists of fat, cholesterol and other liquids. The function of the bile is to decompose fat that we ingest through the food. This happens in the intestines. The bile reaches the intestines, or more precisely the small intestine, with the help of the gallbladder.

In order to diagnose gallstones in a dog, a veterinarian will typically conduct a full physical examination and order X-rays, a urinalysis, and blood work. Gallstones may or may not be identifiable on an X-rays, leading the veterinarian to diagnose the condition by ruling out pancreatitis, inflammation of the bile duct, distended or inflamed gallbladder, or a variety of liver diseases.

Specific blood tests also can be an accurate diagnostic tool. A kidney biopsy can also provide accurate results. Chest x-ray, ultrasound, and electrocardiogram can be effectively used (Stevens, 2009).

Gallbladder cancer (GBC), though a rare neoplsam, is a highly aggressive and fatal disease with wide geographical, ethnic, and gender specific variations in its incidence. As there are no specific signs or symptoms or reliable sensitive markers, the cancer is usually diagnosed at advance stages and the outcome is dismal. Patients with lesions confined to the gallbladder mucosa have a 32% five year survival rate, while patients with more advanced lesions have only a 10% chance of 5-year survival (Lazcano-Ponce et al. 2001). Neither radiation nor conventional chemotherapy has been shown to significantly improves survival or quality of life for GBC patients. Early diagnosis can have significant curative impact with surgery as the only therapeutic

Initial use of ultrasonography in diagnosis of intra-abdominal collections was found to have several advantages and disadvantages. The accuracy of ultrasonography in diagnosis of intra-abdominal collection was found to be 97% with sensitivity of 93% and a specificity of 99% 14.

However, UG series tests include the use of fluoroscopy while CT scans also requires the injection of special dyes which aid in the visual examination of the GIT. Also, CT scans are capable of diagnosing CD as well as confirming the progression of the inflammation through the layers. MR scans is the use of strong magnetic fields and radio waves to produce a detailed image of the intestines, which may be used to diagnose IBD, as well as differentiation into different types of this disease such as UC and CD. This scan is used as it is non-invasive method of disease detection, does not involve the use of ionizing radiation, and allows distinct vizualization of internal components which may show clinical signs of

I. Introduction: It is estimated that approxiamately 10 to 20 percent of the population in the United States and Western Europe are currently being affected by Gallbladder attacks.

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.