Cholecystitis in Hindi- Cause, Sign, Symptoms, Investigation, Treatment || Dr Shipra Mishra ||
ฝัง
- เผยแพร่เมื่อ 2 มี.ค. 2022
- 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.
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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
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Me pareshan thi fir maine hospital kiya to mujhe gallbladder stone ke bareme malum pada aur tention me aa gayi mujhe 12mm ka tha mummy ne you tube pe khadnol Livcon capsule & khadnol syrup dekha fir Flipkart se magwake diya 6 mhine liya aur thik ho gai ab me bikul teek hu.
Wow mam aapka tarika bhut acha lga ase school ke teacher samjhate to ham kbhi bhul nhi pate kisi bi chapters ko
@tejaswinichawla4962same bhai mera 6.9 mm gallbladder stone hai mujhe b doctor ne surgery boli hai... Duaa kro theek hojaye
Mere Mummy ne mujhe magwake di thi ye medicine Khadnol livcon capsule and syrup, mera esise hi theek huaa ab me bilkul theek hu-8
Mam mere report mein
Pericholecyctic edema - likly secondary to hepatitis aya hai
Gall bladder: moderately distended & shows pericholeyctic edema
Aur jaundice bhi hai
Bahut achhe se Batati ho.Thanks.
you are simple and great teacher mam
plz other topic Pe bhi videos banaye
Me pareshan thi fir maine hospital kiya to mujhe gallbladder stone ke bareme malum pada aur tention me aa gayi mujhe 12mm ka tha mummy ne you tube pe khadnol Livcon capsule & khadnol syrup dekha fir Flipkart se magwake diya 6 mhine liya aur thik ho gai ab me bikul teek hu.
Very nice explanation maam ❤❤
undoubtedly ur way of teaching is awesome.bt left out more important factor.tha what to do with Asymptomatic galstone.please throw light
If asymptomatic leave them…
@@learnwithdrshipra Respected Dr saheb. Is there any risk of cancer if left untreated. ur suggestion is welcomed.
Hello mam agr gall bladder mey Murphy's sigh negative aya h to iska mtlb thik hi ya glt hi mam
Eska mtlb thk h
Mere Mummy ne mujhe magwake di thi ye medicine Khadnol livcon capsule and syrup, mera esise hi theek huaa ab me bilkul theek hu-v
Thank you ma'am you are such a grate teacher
Thankyou
Explend
Understood very well
Thx mam
Love from pakistan 🤩🤩🤩But notes are factual somewhat..
Love you mam ❤️❤ superb explanation ❤❤
Can you make a video on Kawasaki disease with fully pathophysiology explaination😊
Nice, shipra...... Although I'm engineer, but impressed by your teaching style.
Thnkx
Plz upload all diseases video 🙏 like phymosis
Difference of spleenomegaly and hepatomegaly
Difference of phimosis and peraphimosis
Hydrocele
Soon
Me pareshan thi fir maine hospital kiya to mujhe gallbladder stone ke bareme malum pada aur tention me aa gayi mujhe 12mm ka tha mummy ne you tube pe khadnol Livcon capsule & khadnol syrup dekha fir Flipkart se magwake diya 6 mhine liya aur thik ho gai ab me bikul teek hu.
Love from Sindh❤ nice lectures
Very good explanation
amazing dr shipra such nice define everything. . love from karachi (pak)
Well explained 👏
Mam gall bladder perforation kota hai
Mere Mummy ne mujhe magwake di thi ye medicine Khadnol livcon capsule and syrup, mera esise hi theek huaa ab me bilkul theek hu-8,
Nice explanation
Hii mam
Muze 3year se hiper bilirubin ka problme he after 34moth increase 3.50to4 total bilirubin
Usg normal he kya problem ho skta he ,how to find ,plz help me
Send ur reports to my instagram id- learn_with_dr_shipra
Nice explanation mam
Mam plz upload other important topics from surgery and ENT
Yes mam next topic upload kariye
Now notes available on telegram channel
t.me/learnwithdrshipra
Gb is Partially distended means??
Usg is done after meal
Enlarged gb
@@learnwithdrshipra any alarming condition aur it's normal
Mere Mummy ne mujhe magwake di thi ye medicine Khadnol livcon capsule and syrup, mera esise hi theek huaa ab me bilkul theek hu-
I like your teaching technique
Thankyou
Hello shipra. Two weeks back i have under gone operation and my gall bladder is removed with reason acute cholecystitis. However I am not understood the reason for removing gall bladder. Can you please let me know the reason for removing gall bladder by seeing my reports.
Send ur reports to my instagram id- Learn_with_dr_shipra
maybe you had a calcified gall bladder ( porcelain gall bladder ) where cells undergo scaring and fibrosis ..
Mame please keep continue teaching
Sb thik tha pr ye ek dm se chronic kaise aagya acute ka to jikrr tk ni kiya aapne ye bhout bda doubt ho gya
Mere Mummy ne mujhe magwake di thi ye medicine Khadnol livcon capsule and syrup, mera esise hi theek huaa ab me bilkul theek hu-
Good lecture mam
Good work Keep it up
Maam all videos uploaded plz ❤😊
Will upload soon
Good informative presentation ! microMan
madam ursodiol medicine chronic cholcytitis main effective hai kya? agar surgery patient na karwai 5.8 mm ka cholostrol stone hai
Ha possible h gall stone ka dissolve hona ursodiol se bt bina surgeon se consult kiye huye koi b medicine start nhi krni h
Define very nice.
Well defined
Will GGT be alleviated in this health issue
Thank you
Hello mam. I have been diagnosed with chronic cholecystitis. I am facing shortness of breath also. Is there any link between the two?
Ya its happn due to pain
many patients experience nausea, vomiting and shortness of breath when inhaling due to pain.
Hem lata mam apki surgery hogaya
@chandanranawtamazon ke dalal
@tejaswinichawla4962 झूठ मत बोलो तूने वो भी तो लिया था
Is gall bladder wall edema and inflammation is same
No
Me pareshan thi fir maine hospital kiya to mujhe gallbladder stone ke bareme malum pada aur tention me aa gayi mujhe 12mm ka tha mummy ne you tube pe khadnol Livcon capsule & khadnol syrup dekha fir Flipkart se magwake diya 6 mhine liya aur thik ho gai ab me bikul teek hu.0
Thank you very much mam
Ya sergiry karana hoga ultrasound m ota chala but pain hota h
You are great mam
Thanks. for teaching.
thank you Doctor
So good
Mam meri age 20 h or mre ultrasound me...( is contacted & shows multiple calculi in the lumen largest measures -3 mm ) impression.. contacted gb with cholelithiasis) aya h kya problem h mje iska treatment kya h??
Send ur reports to my instagram id
Me pareshan thi fir maine hospital kiya to mujhe gallbladder stone ke bareme malum pada aur tention me aa gayi mujhe 12mm ka tha mummy ne you tube pe khadnol Livcon capsule & khadnol syrup dekha fir Flipkart se magwake diya 6 mhine liya aur thik ho gai ab me bikul teek hu.0
Dhanyavaad 🙏
Doc., Can we feed drinking milk to the patient of gall cholcelthectitis?
Low fat milk consume kr skte h but avoid kr paye to acha h
Mere Mummy ne mujhe magwake di thi ye medicine Khadnol livcon capsule and syrup, mera esise hi theek huaa ab me bilkul theek hu-8,
Mam histology me aya hay chronic cal cholecystitis. Ye kya carcinoma hay
No
Mere Mummy ne mujhe magwake di thi ye medicine Khadnol livcon capsule and syrup, mera esise hi theek huaa ab me bilkul theek hu-8
La jawaab 😊
Good evening mam
Mam mildly increased bilateral rental cortical echogenicity acalculous cholecystitis with gallbladder what does it mean
Plz jaldi batado
Mere Mummy ne mujhe magwake di thi ye medicine Khadnol livcon capsule and syrup, mera esise hi theek huaa ab me bilkul theek hu-0
Very nice mam❤❤❤❤❤
No Symptoms yet to pain yet
Es bimari ka ejaj kya hai
Thanku 😍❣️
Mujhe yee problem ho rhe hai
Mere Mummy ne mujhe magwake di thi ye medicine Khadnol livcon capsule and syrup, mera esise hi theek huaa ab me bilkul theek hu-0@nargijkhan4190
superb
Mam kya isse pet k nichle hisse mein bhi dard ho sakta hai
Me pareshan thi fir maine hospital kiya to mujhe gallbladder stone ke bareme malum pada aur tention me aa gayi mujhe 12mm ka tha mummy ne you tube pe khadnol Livcon capsule & khadnol syrup dekha fir Flipkart se magwake diya 6 mhine liya aur thik ho gai ab me bikul teek hu.8
xanthogranulomatous cholecystitis kya h
Nujhe v cholecystitis sign hua h ab kya kare dawa se thik ho jaaga
Ha
Mere Mummy ne mujhe magwake di thi ye medicine Khadnol livcon capsule and syrup, mera esise hi theek huaa ab me bilkul theek hu-8
❤❤❤ love you ma'am
Madam mujhe alsar hai agar aapko dikhana chahu to kaha par aana hoga please bataye jarur
Kya problem rhti h?
Mam bhojan karane ke bad pet bhari rahata hai lagata hai bhojan gale tak bhara hai meri dawa lko se chal rahi hai doctor ne bataya hai 40 cm ka alsar hai endoscopy karne ke bad dawa kha raha hu lekin pura aaram nahi hai please mam kuchh bataiye mai kya karu jisase mai puri tarah thik ho jau
Kya ap apni reports send kr skte h
Learn_with_dr_shipra instagram id
Es pr ap apni sbhi reports send kre
And mishra ji ulcer hone ke bad thik hone me time lgta h but proper medicine n diet se ap thik ho jayege medicine thoda time chlti h uske bad bhu apko diet ka pura dyan rkhna pdega or stress na le stress se ulcer thik nhi ho pata h
Thax u
Tnku so much
Good la.
Nice you 🎉mam
Acalculous cholecystitis ko ap srf conservatively manage karne ki salah nahi de sakti...
Ap lect. Dubara se suniye sir mene kha h 60% cases me hum use symptomatic treatment se cure krne ki koshish krte h… mene types ki bat hi nhi ki h treatment me or na hi bola h conservative hi manage krege
@@learnwithdrshipra in one of ur slides when u mention nonobstructive cholecystitis..it has been said that it can be managed conservatively...well in many cases these are icu patients with severe sepsis..u need either percutaneous cholecystostomy or cholecystectomy once pt is hemodynamically stable...
Thankx mr. Mp for this valuable concern…
bt mene vha b yhi kha h ki kr skte h….Bt next time or jyada explain krne ki koshish krugi taki ye confusion na ho….
Cholecystitis ultrasound se pata chal sakta hai
Pittashay ki thaili ya pitt ki thali
Pittashay= piita ki thaili
🙏🙏
Maam 10 mm theek hoo sakta hain
Me pareshan thi fir maine hospital kiya to mujhe gallbladder stone ke bareme malum pada aur tention me aa gayi mujhe 12mm ka tha mummy ne you tube pe khadnol Livcon capsule & khadnol syrup dekha fir Flipkart se magwake diya 6 mhine liya aur thik ho gai ab me bikul teek hu.
Cholecystitis ki medisan bta do best,m bhut pese barbaad kar chuka🙏🙏🙏
Send ur report
@@learnwithdrshipra number to do aapka kese bhezu riport
❤
Hi
Gall blandder contracted cbd is not dilated aaya 5.4mm.aaya tha dawai khali sahi ho gya.2month bad puri body me khuli ho rahi h plz bta do aisa q ho raha h
Me pareshan thi fir maine hospital kiya to mujhe gallbladder stone ke bareme malum pada aur tention me aa gayi mujhe 12mm ka tha mummy ne you tube pe khadnol Livcon capsule & khadnol syrup dekha fir Flipkart se magwake diya 6 mhine liya aur thik ho gai ab me bikul teek hu.0,
🔥🔥🔥🔥🔥🔥🔥
👌🏻👌🏻👌🏻👌🏻👌🏻
Didi ma apse kaise content karo
Instagram
Me pareshan thi fir maine hospital kiya to mujhe gallbladder stone ke bareme malum pada aur tention me aa gayi mujhe 12mm ka tha mummy ne you tube pe khadnol Livcon capsule & khadnol syrup dekha fir Flipkart se magwake diya 6 mhine liya aur thik ho gai ab me bikul teek hu.
Are madam ji dhuma tha diya kati .lath gad diya
✨✨✨
Love you
Ma'am chronic cholecystitis nikala hai mera . Kitne din tak surgery ke liye rukh sakte hai
Pdane ke trika ka to pta nhi lekin ap jrur pasnd a gyi ho😅
🎉🎉🎉🎉🎉
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