Рет қаралды 83,454
pitta ki thaili me stone #gallbladderstone #gallbladderstonepain #gallbladderstonesymptoms #gallbladder #gallbladderultrasound #gallbladdersymptoms #gallbladderremovallifeafter #gallbladderfunction #gallbladderpain cause, signs, diagnosis
Stone in gall bladder- Cholelithiasis
If Stone migrate into duct of biliary tract- Choledocholithiasis
Common in 5th & 6th decade & very rare in 2nd decade
F:M= 4:1
4F- Fat, Fertile, Female, Above Forty
Component of gallstone- Cholesterol, Bile, Calcium, Bilirubin, Carbohydrate & Phosphorus
1- Cholesterol stone- 6% common
Pure Cholesterol stone
Oval/ Round Shape
Pale yellow in color
2- Pigment stones- 4-5%
Very rare & small in size, Multi numbers
Dark green / black color
3- Mixed stone- 90% common
Cholesterol, Calcium salt of phosphate carbonate, Palmitate, Proteins
Etiology-
Metabolic factor- Cholesterol precipitate
Reflex factor- disturbance of bile salt & lecithin ratio(25:1) below 13:1 leads to cholesterol precipitation
Stasis factor- due to Estrogen therapy, Pregnancy, Vagotomy
Infective- E. Coli, Salmonella
Increased Bilirubin Production- sickle cell anemia, malaria etc.
Risk Factor-
Women, Obesity, Sedentary life style
Liver disease, Altered enterohepatic circulation
Ileal disease, ileal resection
Rapid weight loss
Birth control pills
Clinical feature-
Biliary colic with periodicity
Nausea
Vomiting
Fever
Anorexia
Flatulent
Dysphagia
Signs-
1- Murphy’s Sign- Pressure on Rt. Hypochondrium- Winching on pt. face
2- Boas Sign- Pt. in prone position
Pressure on 9th & 11th intercostal space
Pt. feels severe pain
Investigation-
CBC
LFT
Serum bilirubin increases
Plain abdomen X-ray
Lateral X-ray (Spine)
USG
Conservative T/t-
Silent condition doesn’t require any management
Analgesic
Antispasmodic
Anti-inflammatory
Oral drug therapy
Surgery-
Laparoscopic Cholecystectomy
Open Cholecystectomy
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.
contact info :-
Instagram- learn_with_dr_shipra?igshid=YmMyMTA2M2Y=
Facebook- profile.php?id=100004627846783
telegram- t.me/learnwithdrshipra