Chronic Cholecytitis

1. Chronic Cholecytitis
Complaints:-
Chronic pain in right hypocondrium
-Nausia
-Vomiting
-Heartburn
Anamnesis morbi:-
-Chronic pain
-2 Mounths
-Spasmo lytics
Anamnesis Vitae:-
-Fatty Food
-Fried Food
-Alcohol
Physical Examination:-
-Visual inspection
-Yellow skin
-Jaundice
Palpation:-
Positive Letsky symptom
Percussion:-
Positive Letsky symptom

2. Auscoltation:-
No Change
Labaratory test:-
-Leukocytosis with left shift formula
-Biochimical blood analysis: Increase bilarubin
Increase alanine
Increase phosphates amylase
Deffrential Diagnosis:-
Chronic Cholecytitis Ulcer Disease of Deudnum
Complaints Chronic pain in right hypocondrium
-Nausia
-Vomiting
-Heartburn
Chronic pain in right hypocondrium
-Nausia
-Vomiting
-Heartburn
Anamnesis morbi -Chronic pain
-2 Mounths
-Spasmo lytics
-Chronic pain
-1 Mounth
-Anti Acid
Anamnsis vitae -Fatty Food
-Fried Food
-Alcohol
-Excessive Food
-Alcohol intake
-Previous history of surgery
abdominal
Labaratory Test -Leukocytosis with left shift formula
-Biochimical blood analysis:
Increase bilarubin
Increase alanine
Increase phosphates amylase
-Leukocytosis with left shift
formula
-Biochemical : Increase creatinine
-Blood Serology : anti bodies to
helico.bacter
-General urine analysis :
Protienuria , Cylnders, erythrosits
-PH Meter : Increase acidity

3. Treatment:-
-Plan hospitalization
-Plan Operation
-Cholesisectomy
-Relax