Cholecystitis in Hindi- Cause, Sign, Symptoms, Investigation, Treatment || Dr Shipra Mishra || скачать в хорошем качестве

Cholecystitis in Hindi- Cause, Sign, Symptoms, Investigation, Treatment || Dr Shipra Mishra ||

gallbladder m sujan k lakshan or ilaj inflammation in gallbladder Inflammatory condition of gall bladder. Type- 1- Acute Cholecystitis 2- Chronic Cholecystitis 1- Obstructive- due to gall stone (90%) 2- Non-obstructive- major illness like sever sepsis, burns, DM etc. Links 🔗- for NOTES AND any QUERY CONTACT.. Instagram Id learnwithdrshipra https://www.instagram.com/learnwithdr... Whatsapp channel- https://whatsapp.com/channel/0029VagP... Telegram- https://t.me/learnwithdrshipra Etiology- Majority of cases of calculous cholecystitis are due to organism such as E. coli, Streptococci, Salmonella, Klebsiella, etc. In Typhoid Fever, around 2nd week can cause Typhoid Cholecystitis Gallbladder stone or any growth of biliary system. Symptoms- 4 F’s are seen: Fatty, fertile, female, forty- fifty Colicky pain & more prolonged Nausea & Vomiting Initially Low grade fever with chills Fat intolerance Feeling of Fullness Abdominal distension Tenderness- Over Rt. Hypochondrium Signs- 1. Murphy’s Sign: Keep the fingers in Rt. Hypochondrium & told to take deep breath. At the height of inspiration, there is sudden catch of breath. Its due to inflamed gall bladder coming in contact with abdominal wall. 2. Boas Sign: Hyperesthesia b/w 9 & 11 ribs posteriorly. Investigation- Total WBC count is always raised Blood & Urine Analysis to rule out DM Plain X-ray to rule out- Gall Stones, Gall bladder calcification Triradiate- Mercedes Benz Sign Biradiated- Sea Gull Sign Ultrasonography: Success rate is more than 95% Conservative (60-70%) Admission Aspiration- of HCL with Ryle’s Tube Antispasmodics- Inj. Morphine 8-10 mg IM along with Inj. Atropine 0.6 mg to relieve spasm Antibiotics- Broad spectrum antibiotics like Cefazoline or Amikacin. Pt is kept NBM for 2-3 days. During this period IV fluids are given. Early Cholecystectomy: This can be done from 2 to 7 day of admission. Inflamed GB. Prior to these, the conditions like DM, HTN etc. should be made corrected. 3) Emergency Cholecystostomy: About 10% pt. needs emergency Cholecystostomy. The deciding factors to be considered are High Grade Fever, Sepsis, Shock, etc. Acalculous & Perforated GB are the strong indications. Chronic Cholecystitis- The recurrent attacks of cholecystitis converts GB into the fibrosed, non-functioning, contracted, shrunken and small. Stones are invariably present. Pt having fatty food intolerance Murphy’s Sign is positive Diagnosed by USG or else OGC (Oral Cholecystography) to the functioning of GB. Treatment : Cholecystectomy #inflamedgallbladder #Gallbladder, #Gallbladderpain, #Gallbladderpainsymptoms #gallbladderattacksymptoms #gallbladderfunction #gallbladderultrasound Copyright Disclaimer under section 107 of the Copyright Act of 1976, allowance is made for “fair use” for purposes such as criticism, comment, news reporting, teaching, scholarship, education and research. Fair use is a use permitted by copyright statute that might otherwise be infringing. Non-profit, educational or personal use tips the balance in favour of fair use.