ACUTE/CHRONIC CHOLECYSTITIS.

Dr. Zachary Lahlou

  • Acute: Acute inflammation of the gall bladder that may caused by distention, edema, inflammation, or infection.
  • Chronic: Recurring non-acute gall bladder inflammation and symptoms caused primarily by the presence of gallstones.

ETIOLOGY/ PATHOGENESIS

  • Cholelithiasis accounts for nearly 90% of acute cholecystitis cases.
  • Acalculous Cholecystitis accounts for the remainder of the causes: Tumor, Post surgical complication, Biliary sludge, Critically ill patient without oral intake for prolonged period.
  • Microorganisms: Salmonella,Vibrio Cholera, Leptospira, Listeria

PERTINENT HISTORICAL FINDINGS/ CLINICAL SYMPTOMS

  • Risks of gall stone disease: More common in females, Ages 30 – 39 more common, Pregnancy major risk factor for younger women (1.3% nulliparous vs. 13% multiparous), Obesity, Estrogen Use
  • Acute: Hallmark symptom includes sudden onset of upper abdominal pain that lasts for several hours. This pain gradually intensifies and localizes to hyopgastrium or right upper quadrant. Pain may radiate to right scapular area or to shoulder. Nausea Vomiting is common, Anorexia is common…

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