I just wanted to drop you a short note on your patient [Name]. As I know you are well aware, she was seen by my partner, Dr. [Name] for evaluation for bile duct stones, and found to have very large load of stones in the left intrahepatic ducts. She returned to seen me on July 16, for repeat ERCP, at which time with the plan to use SPYGLASS cholangioscopy technology to try to manage these stones. We had provisionally also scheduled her for a PTC tomorrow if our efforts failed. We perform her ERCP under MAC anesthesia.…
KUB shows degenerative joint disease in the L4-5 apophyseal joints without significant interval change, and spot film of the right upper quadrant fails to reveal radiopaque biliary calculi. The gallbladder concentrates telepaque and is slightly enlarged, with erect compression spot films failing to show biliary calculi although the degree of concentration of the contrast and difficulty in separating the gallbladder from gas shadows leaves something to be desired. The gallbladder does contract somewhat following the fatty meal stimulus. Because of barium projected upon the gallbladder in part additional erect compression spot films are obtained. These fail to demonstrate calculi but with combination of GI series, the size and position of gallbladder,…
Based on the information in chapter 3 I believe I have inconsistent symptoms of two interconnected digestive problems constipation and irritable bowel syndrome. Looking back at my families medical history I also noticed that my dad had stomach ulcers and my aunt also used to have gallstones. Furthermore, I think that my digestive problems are caused by unhealthy habits described in chapter 3 rather than serious health conditions accompanied by constant symptoms. In chapter 3 irritable bowl syndrome is indicated as one condition that can cause constipation. While on page 95 low fiber, lack of fluids, lack of exercise and stress are regarded as some of the causes of constipation sometimes falling under the umbrella of irritable bowl syndrome.…
Ella is diagnosed with cholelithiasis. 1. What is cholelithiasis? Choleithiasis is when the gallbladder becomes inflamed.…
This paper explores a case study about a patient namely Ms.V. She is a 35 year old underweight White American, who had recurrent respiratory infection, MsV has been admitted to the hospital Due to her symptoms; after a biopsy she has been diagnosed with ulcerative colitis. This paper Discusses the etiology as well as medications for low potassium, ulcerative colitis Also, Alternative medicine as well as patient’s education are included. (1) Imbalanced nutrition less than body requirement related to decreased absorption as evidenced by weight loss related to impaired absorption and diarrhea.…
Diagnosis include subjective information, history and objective data of upper endoscopy, laboratory test to check or H. pylori, anemia, and fecal occult test. Treatment may include medications to reduce stomach acid( proton pump inhibitors or H-2 blockers), antibiotics for H. pylori, reduce irritating foods to include spicy foods, lactose, and gluten. Risk factors include excessive alcohol, injury, chronic vomiting, stress, medications. H. pylori, and bile reflux( Staff,…
Common bile duct stones are concomitant with gallstones in 10-15% of the patients, with the percentage of association between 8% and 15% in patients under the age of 60 and between 15% and 60% in patients over the age of 601. A standard treatment for concomitant common bile duct (CBD) and gallstones remains controversial and there is no consensus on the optimal management strategy, which could be due to multiple factors, including the level of suspicion for choledocholithiasis, preferences (patient and physician), resources, and the expertise of the surgeons, endoscopists, and radiologists2. The well-known and popular treatment options include: (1) laparoscopic cholecystectomy after endoscopic treatment (a two-steps procedure), (2) endoscopic treatment…
The exact incidence of elevated IAP is not known as different studies had used a different value to define IAH. In patients suffering from severe acute pancreatitis, a IAP of more than 25 mm of Hg was reported in about 10% of the patients; whereas, in another study an incidence of 78% of the patients suffering from severe acute pancreatitis were…
INTRODUCTION Legendary singer Mick Jagger and lead guitarist Keith Richards are part of an iconic English rock band known as the Rolling Stones. Some of the bands top songs include: Gimme Shelter, Jumping Jack Flash, and Brown Sugar. In health care, another type of rolling stones exist called cholelithiasis, commonly known as gallstones.…
What is acute pancreatitis? According to Buttaro, Trybulski, Bailey, and Sandberg-Cook (2013), acute pancreatitis is a very sudden, severe, painful, and excruciating stomach ache due to the inflammatory process of the pancreas. The vulnerability and presentation of acute pancreatitis may vary among the different populations. A typical patient experiencing acute pancreatitis will exhibit severe upper abdominal pain that may intensify with breathing, resulting in patients being reluctant to take a deep breath. Most patients will describe this severe pain as a constant, knife-like, poorly localized abdominal pain that radiates to the back in about 50% of patients.…
Abdominal pain is the most frequent reason patients seek hospital admissions, but diagnosis can be a bit challenging due to different associating conditions. The initial goal in diagnosing abdominal pain is to determine if the pain is from a benign entities or from a life threatening condition. The initial step in diagnosing abdominal pain is identifying the location of the patient’s pain which helps limit the differential diagnosis to a conditions that cause pain in a specific abdominal quadrant. Other features that narrows the diagnosis include the time and duration of the pain, abdominal distention, hypotension that is unexplained and peritoneal findings. When using time to narrow diagnosis, it is important to determine if the patient…
Patient F.C, based on your clinical presentation you have been diagnosed with acute pancreatitis. The pancreas is a large gland behind your stomach that’s primary role is to secrete digestive enzymes and hormones to digest and utilize energy from food. Acute pancreatitis occurs when these digestive enzymes get activated inside the pancreas and cause inflammation. Common causes include, gallstones, infection, high alcohol consumption, surgery, trauma and metabolic disorders. Sometimes the cause is unknown.…
The liver is located under the diaphragm in the upper right side of your abdominal cavity. It has many important jobs including digestive processes. It also carries out many metabolic and regulatory functions in the body and is also responsible for producing bile to breakdown fats in the food we eat. The gallbladder is similar to a small storage sac, it helps the liver to store bile.…
Vomiting 2. Acute, severe, midline abdominal pain that is related with nausea 3. Inability to eat 4. Paleness 5.…
Acute infection with fever, lymph gland inflammation or general body aches. Relative Contraindications: 1. High degree atrioventricular block. 2.…