Acute Gallbladder - CRASH! Medical Review Series

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(Disclaimer: The medical information contained herein is intended for physician medical licensing exam review purposes only, and are not intended for diagnosis of any illness. If you think you may be suffering from any medical condition, you should consult your physician or seek immediate medical attention.)

[@DrDinooshDeLivera]

Reynold's Pentad for Obstructive Ascending Cholangitis:
1) Right Upper Quadrant Pain,
2) Obstructive jaundice
3) Fever
4) Hypotension / Hypovolemic Shock
5) Confusion / Altered mental status

[@amareendhaliwal4423]

Thanks for integrating multiple ultrasound images into this!

[@Daniel-rk2qz]

dude!! u are literally saving my life.

[@mawaddashaban477]

I think B HCG is more important because the pt may have ectopic pregnancy in case of RUQ pain ,
thank you so much for your help.

[@lorenzocrumbie4306]

Charcot's triad (RUQ pain, jaundice and fever..and it is for ascending cholangitis); Reynolds' pentad (RUQ pain, jaundice, fever, hypotension[shock] and confusion[altered mental status]) diagnosing obstructive ascending cholangitis.

[@briantraub5462]

+Lorenzo Crumbie if you have complete obstruction of the common bile duct, there would be a clinical picture consistent with choledocholithiasis. not unless there is some degree of patency in the bile duct can pathogens "ascend" and cause infection

[@ahamedismail4595]

+Lorenzo Crumbie reynolds pentad is just a severe condition of cholangitis .obstructive is the main cause which result in cholangitis if its not treated immeditely pts may progress from charcot to reynolds symptoms.....if im wrong pls crt me....

[@69minalshahare84]

Thank you keep doing the good work.
The best video on TH-cam about this topic 😇

[@ArjanK1206]

Fantastic lecture. Cheers

[@ouwaisalkhateb2223]

Amazing lecture, thanks doctor

[@DrDinooshDeLivera]

Charcot's triad:
1) Severe Right Upper Quadrant Pain
2) Obstructive / Mechanical Jaundice
3) High Swinging Fever

[@DrDinooshDeLivera]

For Ascending Cholangitis

[@xDomglmao]

@@DrDinooshDeLivera Had it on a test yesterday and mixed it up :,-(

[@mercyorafunam4191]

it's charcot's triad ....the one you forgot

[@marwaa2895]

Thank you soooo much doctor Paul ❤

[@dinooshd]

Thank you!

[@jaritshyortega5606]

Thank you.

[@MrHaloman3]

Excellent.

[@maxey1992]

thank you!

[@ejioguonyedika7946]

hepatobiliary iminodiacetic acid (HIDA)

[@SuperLLL]

Isn't Charcot's trial (RUQ pain, jaundice, and fever) already a sign of ascending cholangitis?
Shouldn't fever be absent in choledochocholithiasis?

[@Rvlyra67]

yep, it is

[@dhillon09]

i got stuck on this too.
You are right -- the things I've found say choledocholiathisis increases risk of ascending cholangitis / acute ascending cholangitis.
Ascending Cholangitis = Charcots triad of RUQ pain + Fever + Jaundice
Acute Ascending Cholangitis = Reynolds Pentad which is [Charcots triad] + hypotension/shock and altered mental status

[@arielchasipanta2237]

sounds right, i was a lil confused too

[@mathiassari6499]

💯🚀🙌precise explanation!

[@mushihussain6633]

thank you

[@ahmedsalmanabd6292]

Thank sir

[@ryanhoyle5389]

Hi - I have a question about cholecystectomy for patients with acute cholecystitis. I think current NICE guidance recently changed so that anyone with acute cholecystitis is offered a laparoscopic cholecystectomy within one week. Have you noticed a change over the past few years towards favouring early surgery rather than waiting for resolution of symptoms?

[@kevinireland8020]

@ 12:33 you say this isn't an obstruction, you then state that 75% of cases have an obstuction, then @ 18:57 you show a stone obstucting the cystic duct. Clearification needed.

[@rucha_s]

Is it charcoats triad u were talking about Dr

[@zuhairyassin505]

what do you mean when you step 3 ? is it surgical residency or internship ?

[@wisdommwewa4182]

Is it possible to access these slides?

[@krispringlez8292]

woah that actually alll made way more sense .,,, thank you

[@saharhayat4171]

sorry u r right mattia...ascending cholangitis or acute cholangitis r same

[@saharhayat4171]

its a sign of acute cholangitis not ascending ..I think..

[@mashalazhar3070]

Jesus! Saved me!

[@mashalazhar3070]

When i were on syed ali wasif treatment so muslims from their cars used to show me light to blink my eyes, like aafiya siddiqua, so stop letting that to happen with me

[@mohiuddinalfarra5440]

Thank you.