FAQ - Acalculous Cholecystitis
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questions please?


me and my group are gonna interview native americans about diseases especially about pancreatitis and cholecystitis. what are good interview questions to ask?
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What diseases do/did your parents/grandparents have?
What is your diet like?
Tell me about your exercise habits.
How much alcohol and illegal substances do you use and how long have you used them?
Tell me about your tobacco use.
What medications do you use and what have you used in the past? For what conditions?
Do you have/have you had any medical conditions that you have not had treated?
What are the biggest stressors in your life and how do you cope with them?  (+ info)

help with blood chemistry results?


here is a sample blood chemistry result that i have., can someone please tell me what UA stands for? and the reason for it's elevation? the person having this result was diagnosed to have chronic calculous cholecystitis..

Glucose: 82 (normal: 20-105mg/dl)
UA: 9.8 (normal: 2.4-5.7)
Cholesterol: 185.0 (normal: 120-140)
Triglyceride: 150.3 (normal: 36-165)
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what does this mean from hida scan, expected a percentage but there is none.?


I went for a hida scan a couple weeks ago, just got the results.
This is what is says: This patient was referred for a hida scan. There is a prompt appearance in activity in the liver. The collecting system and gallbladder appear normally. There is no obstruction of bile flow into the small bowel. CCK was given intravenously. There is no net emptying of the gallbladder. One would normally expect an ejection fraction is minumum of 35%. Interpretation: No evidence of cholecystitis. Normal gallbladder filling. Abnormal gallbladder response to CCK with no gallbladder emptying.

Waiting for Surgeon to call but want to know what this means incase he doesn't call.
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There is no percentage because your gall bladder just didn't respond to the Cholecystokinin (CCK). CCK is a GI hormone that triggers gall bladder contraction and release of bile into the intestine. Yours didn't contract.

I'm sorry - this isn't my area of expertise. But it sounds to me that our gall bladder is abnormal. You would have to discuss this with the surgeon to know if this could be a cause of your abdominal pains.  (+ info)

i need help dont know what to do ? spleen and galbladder?


i went to the ER like 3 weeks ago and i had several test run on me and an ultrasound my report says " splenomegaly with no evidence of ascites" and "acalulous cholecystitis with 6mm wall on galbladder and pericholecystic fluid and no focal gallstones are deffinitletly identified"

i have no health insurance to get this fixed , no medicare or medicade

my mom says i cant go in and just see a doctor , i have no money to go into a walk in or anything like that i just moved to florida so i have no job or income

is there anythign i can do to get this fixed or what do i have to do ? from what i know this could be some serious stuff and ive already been put off for 3 weeks going on 4 i dont know what to do
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help diagnose my brother, emergency room or not?


In September my brother had chest pains, so we took him to the hospital. He was diagnosed with pericarditis and given anti inflammatory medication.

In the past few days, his chest hurt again. He had trouble breathing. His neck and jaw hurt, then the pain moved into his abdomen. It also hurts when he walks. He can't sleep laying down. He is having trouble being able to poop.

He was taken to the emergency room, where they believed he had pleursy.

The next day he went to the doctor, who said it might be pleursy, but it also may be cholecystitis. The bloodwork comes back tomorrow. They want to do a CT or something, but can't at the moment because they fear it may harm his liver.

He also has bilirubin in his urine. He is not a drinker.

Until then my mother hasn't been able to sleep worrying.

Just wondering if any medical people on here might have a thing or two to say.
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I 'M GOING TO ANSWER IN BIG LETTERS HOPING THEY LOOK BECAUSE THERE ARE ALOT.. I'd SAY EMERGENCY ROOM LET US KNOW HOW HE IS DOING.  (+ info)

i just got a hida scan done but , couldn't get the doctor to read it . need help!?


these findings are incompatible with cystic or hepatobiliary ductal obstruction.
impression:
(1) normal nuclear hepatobiliary scan .

Gallbladder ejection fraction determination:
following intravenous administration of 1.4 micrograms cholecystokinin with associated significant reproduction of right upper quadrant abdominal pain and patient's sysptoms, region of interest images were obtained throughout the gallbladder for a total of minutes .

these images reveal a gallbladder ejection fraction of 91% , which is within normal limits. these findings are imcompatible with chronic cholecystitis or physiologic gallbladder dysfunction.
impression:
(1) normal gallbladder ejection fraction .
(2) reproduction of patients symptoms with intravenous cholecystokinin is of unknown clinical or pathologic significance given normal gallbladder ejection fraction of 91%


anyone know what this means please help.
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It means the scan didn't find anything wrong with your gallbladder, and it rules out the possibility that any digestive problems you have been experiencing are caused by gallbladder inflammation, improper gallbladder function, or a blockage of the bile duct.

It also reports the results of cholecystokinin that was injected to make the gallbladder contract. The doc observed that the cholecystokinin test caused symptoms to appear, but the reason is unknown, and this result may or may not actually be related to your problem.

All in all, this means there is still no explanation for your problems, but they have at least ruled out several possibilities.  (+ info)

Should presence of gall bladder stones lead to removal of the bladder?


In late Sept 2009, my wife visited a gastro specialist (in a private hospital) for scope on stomach and colon (she had been treated for H pylori), and also had ultrasound from which radiologist reported one single calculus stone of 7mm and evidence of chronic cholecystitis. The gastro specialist stated residual H pylori, a clean Colon, but right away recommended her to a surgeon who immediately recommended the removal of the bladder. My wife said she had never experienced pain in the abdomen or shoulder that could be caused by bladder stone. I googled the web and noted many sites (including medical universities) stating there is no necessity to remove bladder with stones that do not cause pain. My wife is now confused, and depressed. I have had many bad experience with these so-called specialists who are out for quick money, but if there is really a necessity to remove bladder, I 'll advise my wife to go ahead. Appreciate if someone can share experience on any other solution to remove these non-symptomatic stones (i.e. stones that do not cause pain)
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A surgeon will always recommend surgery if it can be clinically indicated. But if she is not having symptoms, she doesn't need to. However, you did not mention why she had the scopes done (symptoms). Symptoms of gallbladder disease are pain, nausea, vomiting. If a stone blocks the system, it becomes more serious issue and can lead to liver problems. These symptoms could include severe pain and vomiting, jaundice, fever, bloating. Also, people who have their gallbladders out, often have continued problems with the bile duct(another common place for stones). I'd vote for wait and see, just be alert for sudden onset of more severe symptoms, if those occur, she'll need it out.  (+ info)

is debris/biliary sludge for 3 month old child is serious?


my child scan report for recurrent vomiting says:gall bladdder partially filled and shows multiple very small hyperechoic foci filling the lumen.no acoustic shodow.very small hyperechoic foci close to one another tightly packed.possibility of debris,biliary sludge.tiny cholelithiasis to be considered.gall bladder shows smooth walls.no GB thickening/edema seen to suggest cholecystitis.no evidence of obstrution/IHBR dilation seen at present.common bile duct is normal and measures 1.3MM.suggested serial follow up studies.
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Well, this is definitely something to ask the doctor because I just had my gallbladder out due to gallbladder dysfunction, I'm 23 and the doctor thought THAT was young to have issues. From what I understand it's usually an issue for older folks..(even though I know 2 younger than 30 yrs old that have had theirs removed). Most of my family has had theirs removed.  (+ info)

Gallbladder Polyps?


Had U/S due to urinary retention. Was 16 weeks pregnant at the time and no problems noted with pregnancy. Only issue on report was

two polyps identified in the gallbladder lumen no signs of cholelithiasis or cholecystitis. Radiologist recomended followp up u/s in one year.

There was no size noted re the polyps. Asked my dr and he realy did not give any info.

Here is the question - if there was concenr re cancer or other serious issue would they just say come back in one year. Also would they investigate during pregnancy if there was any issue to worry about.



thanks
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If cancer was suspected, they would definately pursue this further. Gallbladder polyps can indicate a disease process known as "cholesterolosis" or "strawberry gallbladder". The polyps may actually be formed from portions of cholesterol on the gallbladder wall rather than from the soft tissue of your gallbladder. Have your doctor check your blood cholesterol levels and adjust your diet properly. Good luck!  (+ info)

Can you analyze this laboratory result for me?


Guys can you analyze it for me?

I have a grand mother who has a laboratory result like this. shes about 80+y/o and she was recently admitted to the hospital because of 260+/100+ bp and the doctor said she had a mild stroke.

Interpretation of her Ultrasound in the abdomen: Diffused liver parenchymal disease with cirrhosis considered and cystic structure described, right lobe possibility of primary. reactive cholecystitis. mild splenomegaly

i also read in her ultrasound that the right lobe of her liver is slightly smaller. it also has a nodules

she also has an ascites, elevated SGOT and SGPT, pitting edema, weakness and complains of painful joints in her legs.
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