This document provides an overview of cholelithiasis (gallstones) and cholecystitis (inflammation of the gallbladder). It defines these conditions and discusses their types, risk factors, pathophysiology, clinical presentation, diagnostic evaluation, treatment, nursing management, complications, and prevention. Cholelithiasis is caused by cholesterol stones or pigment stones forming in the gallbladder or bile ducts. Risk factors include female gender, age over 40, obesity, rapid weight loss, and genetic factors. Cholecystitis is typically caused by gallstones obstructing the cystic duct but can also occur without stones. It is diagnosed using blood tests, ultrasound, CT, or ERCP and treated med
This document provides a case history and overview of cholelithiasis (gallstones). It begins with the case history of a 55-year-old male admitted with abdominal pain and vomiting who was diagnosed with acute gangrenous cholecystitis based on imaging. It then discusses the anatomy and physiology of the gallbladder, definitions and classifications of gallstones, risk factors, pathogenesis, clinical manifestations, diagnostic evaluations, and management. Management options discussed include nutritional therapy, pharmacological therapy, non-surgical methods like lithotripsy, and surgical methods like laparoscopic cholecystectomy.
Gallstones form in the gallbladder from bile components like cholesterol and bilirubin. They can cause symptoms by blocking bile ducts. Risk factors include obesity, rapid weight loss, family history, and pregnancy. Symptoms include pain in the upper right abdomen and nausea. Tests like ultrasound and CT scan can detect gallstones. Treatment options are usually surgery to remove the gallbladder or medications that may dissolve small stones.
An anal fissure is a small tear in the anal lining that causes severe pain and bleeding during bowel movements. It is often caused by passing hard stool or straining during bowel movements. Symptoms include pain during and after bowel movements, bleeding, and visible cracks. Diagnosis involves visual examination, and treatment focuses on pain relief, increasing blood flow to promote healing, and surgery if it becomes chronic.
The document discusses cholelithiasis (gallstone disease). It describes the anatomy and physiology of the gallbladder, including its structure and function of storing and releasing bile. Gallstones form when there is a change in the composition of bile leading to precipitation of cholesterol, calcium, or bilirubin crystals. Risk factors include hereditary factors, obesity, rapid weight loss, and certain medical conditions. Symptoms include abdominal pain, nausea, vomiting, and jaundice. Treatment options include medical management with pain medications or stone dissolution agents, or surgical removal of the gallbladder via laparoscopic cholecystectomy.
A colostomy is a surgical procedure where part of the large intestine is diverted through an opening in the abdominal wall called a stoma. This creates an artificial path for waste to exit the body. The document discusses the different types of colostomies based on location and stoma construction. It also covers potential complications, nursing care after surgery, diet guidelines, and proper pouch and stoma maintenance.
This document discusses cholecystectomy, the surgical removal of the gallbladder. It describes the gallbladder's location and function of storing and concentrating bile produced by the liver. Cholecystectomy is commonly performed to treat gallstones and gallbladder inflammation. The risks of the procedure include bile leaks, bleeding, infection, and injury to nearby structures. The two main types are open cholecystectomy, involving a single large incision, and laparoscopic cholecystectomy using 3-4 smaller incisions and an endoscope. Laparoscopic surgery has a shorter recovery time.
Ulcerative colitis (UC) is an inflammatory bowel disease. It causes irritation, inflammation, and ulcers in the lining of your large intestine (also called your colon). There's no cure, and people usually have symptoms off and on for life
The prostate gland is located below the bladder in males and produces fluid for semen. Benign prostatic hyperplasia is a common condition where the prostate enlarges with age, compressing the urethra and impairing urinary flow. Symptoms include frequent urination and weak urine stream. Treatment options include medications to shrink the prostate, heat therapies, and surgeries like transurethral resection of the prostate, which uses an electric knife to remove excess prostate tissue through the urethra.
This document provides a case history and overview of cholelithiasis (gallstones). It begins with the case history of a 55-year-old male admitted with abdominal pain and vomiting who was diagnosed with acute gangrenous cholecystitis based on imaging. It then discusses the anatomy and physiology of the gallbladder, definitions and classifications of gallstones, risk factors, pathogenesis, clinical manifestations, diagnostic evaluations, and management. Management options discussed include nutritional therapy, pharmacological therapy, non-surgical methods like lithotripsy, and surgical methods like laparoscopic cholecystectomy.
Gallstones form in the gallbladder from bile components like cholesterol and bilirubin. They can cause symptoms by blocking bile ducts. Risk factors include obesity, rapid weight loss, family history, and pregnancy. Symptoms include pain in the upper right abdomen and nausea. Tests like ultrasound and CT scan can detect gallstones. Treatment options are usually surgery to remove the gallbladder or medications that may dissolve small stones.
An anal fissure is a small tear in the anal lining that causes severe pain and bleeding during bowel movements. It is often caused by passing hard stool or straining during bowel movements. Symptoms include pain during and after bowel movements, bleeding, and visible cracks. Diagnosis involves visual examination, and treatment focuses on pain relief, increasing blood flow to promote healing, and surgery if it becomes chronic.
The document discusses cholelithiasis (gallstone disease). It describes the anatomy and physiology of the gallbladder, including its structure and function of storing and releasing bile. Gallstones form when there is a change in the composition of bile leading to precipitation of cholesterol, calcium, or bilirubin crystals. Risk factors include hereditary factors, obesity, rapid weight loss, and certain medical conditions. Symptoms include abdominal pain, nausea, vomiting, and jaundice. Treatment options include medical management with pain medications or stone dissolution agents, or surgical removal of the gallbladder via laparoscopic cholecystectomy.
A colostomy is a surgical procedure where part of the large intestine is diverted through an opening in the abdominal wall called a stoma. This creates an artificial path for waste to exit the body. The document discusses the different types of colostomies based on location and stoma construction. It also covers potential complications, nursing care after surgery, diet guidelines, and proper pouch and stoma maintenance.
This document discusses cholecystectomy, the surgical removal of the gallbladder. It describes the gallbladder's location and function of storing and concentrating bile produced by the liver. Cholecystectomy is commonly performed to treat gallstones and gallbladder inflammation. The risks of the procedure include bile leaks, bleeding, infection, and injury to nearby structures. The two main types are open cholecystectomy, involving a single large incision, and laparoscopic cholecystectomy using 3-4 smaller incisions and an endoscope. Laparoscopic surgery has a shorter recovery time.
Ulcerative colitis (UC) is an inflammatory bowel disease. It causes irritation, inflammation, and ulcers in the lining of your large intestine (also called your colon). There's no cure, and people usually have symptoms off and on for life
The prostate gland is located below the bladder in males and produces fluid for semen. Benign prostatic hyperplasia is a common condition where the prostate enlarges with age, compressing the urethra and impairing urinary flow. Symptoms include frequent urination and weak urine stream. Treatment options include medications to shrink the prostate, heat therapies, and surgeries like transurethral resection of the prostate, which uses an electric knife to remove excess prostate tissue through the urethra.
Loop ileostomy or loop colostomy can be used to divert fecal streams and protect colorectal anastomoses based on indications from various diseases and procedures. Complications occur in 21-70% of cases, relating to the stoma, peristomal skin, or systemic issues. Guidelines recommend techniques to decrease complications like laparoscopy, protruding stomas, and mesh reinforcement. While some studies found ileostomy had fewer hernias and prolapses, meta-analyses show no clear preference between ileostomy and colostomy. Alternative options like ghost ileostomy or transanal decompression tubes may help avoid stomas in some cases.
Appendicitis is inflammation of the appendix, a finger-like organ attached to the cecum. The appendix can become blocked, leading to swelling and infection. This causes pain in the lower right abdomen. Appendicitis is most common in teenagers and young adults. It is diagnosed through physical exam, imaging tests, and blood tests. Treatment involves antibiotics, intravenous fluids, pain medication, and often surgery to remove the appendix (appendicectomy). Complications can include perforation leading to infection in the abdomen.
This document discusses colostomy care and procedures. It defines a colostomy as an artificial opening in the large intestine brought to the surface of the abdomen. It then classifies colostomies as either temporary or permanent, and by stoma site or number/type. Common indications for a colostomy include colon cancer, Hirschsprung's disease, and ulcerative colitis. The purpose of colostomy care is to protect the skin, provide drainage, clean and regulate the bowel, and enable patient self-care. Required equipment includes supplies for changing appliances and bags, as well as accessories like filters, tape, soap, and gloves. Colostomy irrigation is defined as introducing a solution through the
There are three major forms of liver abscess classified by etiology: pyogenic liver abscess which accounts for 80% of cases, amoebic liver abscess due to E. histolytica accounting for 10% of cases, and fungal abscess accounting for less than 10% of cases. Risk factors include traveling to infection-common areas, older age, medical conditions, medications, alcohol, and poor nutrition. Symptoms include abdominal pain, cough, fatigue, fever, nausea and vomiting, loss of appetite, and jaundice. Diagnosis involves blood tests, imaging, and procedures to drain fluid from the liver. Treatment depends on the cause but may include medications, needle aspiration, catheter drainage, or
Hemorrhoids are swollen veins in the lowest part of your rectum and anus. Sometimes, the walls of these blood vessels stretch so thin that the veins bulge and get irritated, especially when you poop. Hemorrhoids are also called piles.
Liver cysts are sac-like structures found in the liver that can vary in size from 2mm to 20cm. Most liver cysts are asymptomatic but some people may experience abdominal pain, swelling, or discomfort if the cyst is larger than 7cm. Liver cysts are usually detected incidentally during tests done for other health issues and are often confirmed by imaging tests like CT scans or ultrasounds. While small, asymptomatic cysts may not require treatment, antibiotics may be used if a cyst becomes infected or surgical removal may be needed for large cysts causing symptoms or complications.
Haemorrhoids, anal fissures, and fistula-in-ano are common anorectal conditions. Haemorrhoids are abnormal veins in the anal canal that can cause bleeding. Anal fissures cause tearing of the anal lining and severe pain during bowel movements. Fistula-in-ano is an abnormal connection between the anal canal and skin that can cause discharge. Treatment depends on the type and severity but may include medications, procedures to cut or seal veins, or surgery.
Upper GI endoscopy is a procedure that uses a lighted, flexible endoscope to examine the esophagus, stomach, and duodenum. It can be used to detect various conditions like ulcers, abnormal growths, and inflammation. Upper GI endoscopy can determine the cause of symptoms like abdominal pain, bleeding, vomiting, and unexplained weight loss. During the procedure, the doctor may remove objects, stop bleeding, take biopsies, and perform other therapeutic interventions. Patients need to follow preparation instructions which involve fasting beforehand and having someone drive them home after the procedure.
Small intestine perforation- Easy ppt for student nurses
definition
causes
clinical manifestations
diagnostic tests
management of small intestine perforation
Pancreatic abscess is a rare but life-threatening complication that can develop 5 weeks after acute pancreatitis. It occurs when infected pancreatic necrosis forms a localized pus collection surrounded by a capsule. Common causes include various aerobic and anaerobic bacteria as well as fungal parasites. Risk factors include biliary tract disease, alcohol addiction, peptic ulcers, carcinoma, and trauma. Diagnosis involves blood tests, imaging like CT scans, and aspiration of pus. Treatment consists of antibiotics and sometimes surgical drainage of the abscess.
The document discusses pancreatitis, including defining acute pancreatitis as an inflammation of the pancreas that can range from mild edema to severe hemorrhagic necrosis. It outlines causes such as gallstones and alcohol, pathophysiology, clinical manifestations like abdominal pain and vomiting, potential complications, diagnostic tests, treatment including pain management and nutritional support, and discusses chronic pancreatitis.
This document discusses intestinal obstruction and intussusception. Intestinal obstruction is defined as a mechanical or functional blockage of the intestines. Common causes of small bowel obstruction include adhesions, Crohn's disease, and volvulus. Large bowel obstruction may be caused by inflammatory bowel disease, constipation, or colon atresia. Intussusception is the telescoping of one segment of intestine into another, and accounts for 1-4 cases per 1000 live births. Clinical features of intestinal obstruction and intussusception include abdominal pain, vomiting, distention, and constipation. Diagnostic tests include blood tests, imaging like CT scans and ultrasound. Surgical management is often needed to correct the obstruction
Gallstone |Cholelithiasis and its types DrAzmat Ali
Gallstones are formed from components in bile like cholesterol, bile pigments, and calcium salts. They most commonly form in the gallbladder but can also develop in the biliary passages. The risk of developing gallstones varies depending on age, gender, diet, obesity, and other factors. Gallstones can cause complications like cholecystitis (inflammation of the gallbladder), cholangitis, and in some cases gallbladder cancer. Treatment is usually surgical removal of the gallbladder for symptomatic gallstones.
These presentation is related to biliary disorders. it is simple and concise presentation and provide all information about the biliary disease. i hope this presentation fulfill your requirements and should be useful.
Intestinal obstruction occurs when the intestine is blocked, preventing normal movement of its contents. It can be caused by mechanical blockages such as tumors or hernias, or functional issues like neuromuscular problems. Symptoms include abdominal pain, vomiting, distension and constipation. Treatment involves fluid resuscitation, antibiotics, pain management, and sometimes surgery to remove the obstruction. Proper diagnosis and timely treatment are important to prevent complications like perforation and sepsis.
INTRODUCTION
Dislocation of the hip is a common injury to the hip joint. Dislocation occurs when the ball–shaped head of the femur comes out of the cup–shaped acetabulum set in the pelvis. This may happen to a varying degree. A dislocated hip, much more common in females than in males, is a condition that can either be congenital or acquired
Definition
• A dislocation is an injury in which a bone is displaced from its proper position
CLASSIFICATION
The relationship of the femoral head to the acetabulum is used to classify the dislocation. The three main patterns are posterior, anterior, and central.
POSTERIOR HIP DISLOCATION
Posterior dislocations account of more than 90% of dislocations and occur when the knee and hip are flexed and a posterior force is applied at the knee.
Posterior hip dislocations occur typically during MVAs, especially head-on collisions, when the knees of the front-seat occupant strike the dashboard. Energy is transmitted along the femoral shaft to the hip joint. If the leg is struck while in an adducted position, a posterior dislocation may result. If the leg is in neutral or an abducted position when struck, an anterior dislocation or fracture/dislocation may occur. In the latter case, the posterior wall of the acetabulum is fractured, making subsequent reduction less stable.
Several classification systems are used to describe posterior hip dislocations.
• The Thompson-Epstein classification is based on radiographic findings.
o Type 1 – With or without minor fracture
o Type 2 – With large, single fracture of posterior acetabular rim
o Type 3 – With comminution of rim of acetabulum, with or without major fragments
o Type 4 – With fracture of the acetabular floor
o Type 5 – With fracture of the femoral head
• The Steward and Milford classification is based on functional hip stability.
o Type 1 – No fracture or insignificant fracture
o Type 2 – Associated with a single or comminuted posterior wall fragment, but the hip remains stable through a functional range of motion
o Type 3 – Associated with gross instability of the hip joint secondary to loss of structural support
o Type 4 – Associated with femoral head fracture
The patient, a 57-year-old woman, presented with right upper quadrant pain and tenderness and was found to have gallstones. Gallstones form when bile in the gallbladder becomes supersaturated, causing cholesterol and other substances to precipitate out into stones. Risk factors include female gender, multiparity, obesity, and genetics. Ultrasound confirmed the presence of gallstones and showed a thick-walled gallbladder, indicating cholecystitis. Treatment options include dissolving the stones medically, surgical removal by cholecystectomy, or nonsurgical methods such as lithotripsy to break up the stones.
science has an evolving nature. what happened today may not be tomorrow, what is not today may happen tomorrow.
No one is complete so reading and thinking may open the door to the hidden ground.
1) Pancreatitis is inflammation of the pancreas which can be acute, chronic, or relapsing and may lead to complications.
2) Acute pancreatitis involves inflammation of the normally healthy pancreas and can be mild and reversible or severe with complications like infection and organ failure.
3) Treatment involves rehydration, pain management, antibiotics if infected, and sometimes surgery to remove infected pancreatic tissue.
Celiac disease is a permanent intolerance to gluten that damages the small intestine. It is caused by an immune reaction to eating gluten, which is found in wheat, barley and rye. To diagnose it, doctors conduct blood tests, and often a biopsy of the small intestine. The only treatment is a lifelong gluten-free diet, which allows the intestine to heal. Managing celiac disease requires carefully reading food labels to avoid gluten.
1. Chronic diarrhea is defined as persistent changes in stool consistency and increased stool frequency lasting over 4 weeks.
2. The causes of chronic diarrhea include secretory, osmotic, steatorrheal, inflammatory, dysmotility, and iatrogenic factors.
3. The approach to a patient with chronic diarrhea involves obtaining a detailed history and physical exam, followed by screening tests and further testing depending on the results to identify the underlying cause and guide management.
Loop ileostomy or loop colostomy can be used to divert fecal streams and protect colorectal anastomoses based on indications from various diseases and procedures. Complications occur in 21-70% of cases, relating to the stoma, peristomal skin, or systemic issues. Guidelines recommend techniques to decrease complications like laparoscopy, protruding stomas, and mesh reinforcement. While some studies found ileostomy had fewer hernias and prolapses, meta-analyses show no clear preference between ileostomy and colostomy. Alternative options like ghost ileostomy or transanal decompression tubes may help avoid stomas in some cases.
Appendicitis is inflammation of the appendix, a finger-like organ attached to the cecum. The appendix can become blocked, leading to swelling and infection. This causes pain in the lower right abdomen. Appendicitis is most common in teenagers and young adults. It is diagnosed through physical exam, imaging tests, and blood tests. Treatment involves antibiotics, intravenous fluids, pain medication, and often surgery to remove the appendix (appendicectomy). Complications can include perforation leading to infection in the abdomen.
This document discusses colostomy care and procedures. It defines a colostomy as an artificial opening in the large intestine brought to the surface of the abdomen. It then classifies colostomies as either temporary or permanent, and by stoma site or number/type. Common indications for a colostomy include colon cancer, Hirschsprung's disease, and ulcerative colitis. The purpose of colostomy care is to protect the skin, provide drainage, clean and regulate the bowel, and enable patient self-care. Required equipment includes supplies for changing appliances and bags, as well as accessories like filters, tape, soap, and gloves. Colostomy irrigation is defined as introducing a solution through the
There are three major forms of liver abscess classified by etiology: pyogenic liver abscess which accounts for 80% of cases, amoebic liver abscess due to E. histolytica accounting for 10% of cases, and fungal abscess accounting for less than 10% of cases. Risk factors include traveling to infection-common areas, older age, medical conditions, medications, alcohol, and poor nutrition. Symptoms include abdominal pain, cough, fatigue, fever, nausea and vomiting, loss of appetite, and jaundice. Diagnosis involves blood tests, imaging, and procedures to drain fluid from the liver. Treatment depends on the cause but may include medications, needle aspiration, catheter drainage, or
Hemorrhoids are swollen veins in the lowest part of your rectum and anus. Sometimes, the walls of these blood vessels stretch so thin that the veins bulge and get irritated, especially when you poop. Hemorrhoids are also called piles.
Liver cysts are sac-like structures found in the liver that can vary in size from 2mm to 20cm. Most liver cysts are asymptomatic but some people may experience abdominal pain, swelling, or discomfort if the cyst is larger than 7cm. Liver cysts are usually detected incidentally during tests done for other health issues and are often confirmed by imaging tests like CT scans or ultrasounds. While small, asymptomatic cysts may not require treatment, antibiotics may be used if a cyst becomes infected or surgical removal may be needed for large cysts causing symptoms or complications.
Haemorrhoids, anal fissures, and fistula-in-ano are common anorectal conditions. Haemorrhoids are abnormal veins in the anal canal that can cause bleeding. Anal fissures cause tearing of the anal lining and severe pain during bowel movements. Fistula-in-ano is an abnormal connection between the anal canal and skin that can cause discharge. Treatment depends on the type and severity but may include medications, procedures to cut or seal veins, or surgery.
Upper GI endoscopy is a procedure that uses a lighted, flexible endoscope to examine the esophagus, stomach, and duodenum. It can be used to detect various conditions like ulcers, abnormal growths, and inflammation. Upper GI endoscopy can determine the cause of symptoms like abdominal pain, bleeding, vomiting, and unexplained weight loss. During the procedure, the doctor may remove objects, stop bleeding, take biopsies, and perform other therapeutic interventions. Patients need to follow preparation instructions which involve fasting beforehand and having someone drive them home after the procedure.
Small intestine perforation- Easy ppt for student nurses
definition
causes
clinical manifestations
diagnostic tests
management of small intestine perforation
Pancreatic abscess is a rare but life-threatening complication that can develop 5 weeks after acute pancreatitis. It occurs when infected pancreatic necrosis forms a localized pus collection surrounded by a capsule. Common causes include various aerobic and anaerobic bacteria as well as fungal parasites. Risk factors include biliary tract disease, alcohol addiction, peptic ulcers, carcinoma, and trauma. Diagnosis involves blood tests, imaging like CT scans, and aspiration of pus. Treatment consists of antibiotics and sometimes surgical drainage of the abscess.
The document discusses pancreatitis, including defining acute pancreatitis as an inflammation of the pancreas that can range from mild edema to severe hemorrhagic necrosis. It outlines causes such as gallstones and alcohol, pathophysiology, clinical manifestations like abdominal pain and vomiting, potential complications, diagnostic tests, treatment including pain management and nutritional support, and discusses chronic pancreatitis.
This document discusses intestinal obstruction and intussusception. Intestinal obstruction is defined as a mechanical or functional blockage of the intestines. Common causes of small bowel obstruction include adhesions, Crohn's disease, and volvulus. Large bowel obstruction may be caused by inflammatory bowel disease, constipation, or colon atresia. Intussusception is the telescoping of one segment of intestine into another, and accounts for 1-4 cases per 1000 live births. Clinical features of intestinal obstruction and intussusception include abdominal pain, vomiting, distention, and constipation. Diagnostic tests include blood tests, imaging like CT scans and ultrasound. Surgical management is often needed to correct the obstruction
Gallstone |Cholelithiasis and its types DrAzmat Ali
Gallstones are formed from components in bile like cholesterol, bile pigments, and calcium salts. They most commonly form in the gallbladder but can also develop in the biliary passages. The risk of developing gallstones varies depending on age, gender, diet, obesity, and other factors. Gallstones can cause complications like cholecystitis (inflammation of the gallbladder), cholangitis, and in some cases gallbladder cancer. Treatment is usually surgical removal of the gallbladder for symptomatic gallstones.
These presentation is related to biliary disorders. it is simple and concise presentation and provide all information about the biliary disease. i hope this presentation fulfill your requirements and should be useful.
Intestinal obstruction occurs when the intestine is blocked, preventing normal movement of its contents. It can be caused by mechanical blockages such as tumors or hernias, or functional issues like neuromuscular problems. Symptoms include abdominal pain, vomiting, distension and constipation. Treatment involves fluid resuscitation, antibiotics, pain management, and sometimes surgery to remove the obstruction. Proper diagnosis and timely treatment are important to prevent complications like perforation and sepsis.
INTRODUCTION
Dislocation of the hip is a common injury to the hip joint. Dislocation occurs when the ball–shaped head of the femur comes out of the cup–shaped acetabulum set in the pelvis. This may happen to a varying degree. A dislocated hip, much more common in females than in males, is a condition that can either be congenital or acquired
Definition
• A dislocation is an injury in which a bone is displaced from its proper position
CLASSIFICATION
The relationship of the femoral head to the acetabulum is used to classify the dislocation. The three main patterns are posterior, anterior, and central.
POSTERIOR HIP DISLOCATION
Posterior dislocations account of more than 90% of dislocations and occur when the knee and hip are flexed and a posterior force is applied at the knee.
Posterior hip dislocations occur typically during MVAs, especially head-on collisions, when the knees of the front-seat occupant strike the dashboard. Energy is transmitted along the femoral shaft to the hip joint. If the leg is struck while in an adducted position, a posterior dislocation may result. If the leg is in neutral or an abducted position when struck, an anterior dislocation or fracture/dislocation may occur. In the latter case, the posterior wall of the acetabulum is fractured, making subsequent reduction less stable.
Several classification systems are used to describe posterior hip dislocations.
• The Thompson-Epstein classification is based on radiographic findings.
o Type 1 – With or without minor fracture
o Type 2 – With large, single fracture of posterior acetabular rim
o Type 3 – With comminution of rim of acetabulum, with or without major fragments
o Type 4 – With fracture of the acetabular floor
o Type 5 – With fracture of the femoral head
• The Steward and Milford classification is based on functional hip stability.
o Type 1 – No fracture or insignificant fracture
o Type 2 – Associated with a single or comminuted posterior wall fragment, but the hip remains stable through a functional range of motion
o Type 3 – Associated with gross instability of the hip joint secondary to loss of structural support
o Type 4 – Associated with femoral head fracture
The patient, a 57-year-old woman, presented with right upper quadrant pain and tenderness and was found to have gallstones. Gallstones form when bile in the gallbladder becomes supersaturated, causing cholesterol and other substances to precipitate out into stones. Risk factors include female gender, multiparity, obesity, and genetics. Ultrasound confirmed the presence of gallstones and showed a thick-walled gallbladder, indicating cholecystitis. Treatment options include dissolving the stones medically, surgical removal by cholecystectomy, or nonsurgical methods such as lithotripsy to break up the stones.
science has an evolving nature. what happened today may not be tomorrow, what is not today may happen tomorrow.
No one is complete so reading and thinking may open the door to the hidden ground.
1) Pancreatitis is inflammation of the pancreas which can be acute, chronic, or relapsing and may lead to complications.
2) Acute pancreatitis involves inflammation of the normally healthy pancreas and can be mild and reversible or severe with complications like infection and organ failure.
3) Treatment involves rehydration, pain management, antibiotics if infected, and sometimes surgery to remove infected pancreatic tissue.
Celiac disease is a permanent intolerance to gluten that damages the small intestine. It is caused by an immune reaction to eating gluten, which is found in wheat, barley and rye. To diagnose it, doctors conduct blood tests, and often a biopsy of the small intestine. The only treatment is a lifelong gluten-free diet, which allows the intestine to heal. Managing celiac disease requires carefully reading food labels to avoid gluten.
1. Chronic diarrhea is defined as persistent changes in stool consistency and increased stool frequency lasting over 4 weeks.
2. The causes of chronic diarrhea include secretory, osmotic, steatorrheal, inflammatory, dysmotility, and iatrogenic factors.
3. The approach to a patient with chronic diarrhea involves obtaining a detailed history and physical exam, followed by screening tests and further testing depending on the results to identify the underlying cause and guide management.
The document discusses defecation and constipation. It defines defecation as the process of passing stool through the anus, which is usually painless and under voluntary control. Constipation is defined as having less than 3 bowel movements per week and other symptoms like straining. Causes of constipation include low fiber diet, lack of exercise, and certain medications. Constipation can be primary/functional or secondary to other underlying disorders and is diagnosed based on symptoms and medical history.
Lec # 5 Disorders of small & large Intestine.pptIjazKhan505910
This document discusses disorders of the small and large intestine, including irritable bowel syndrome (IBS), appendicitis, peritonitis, ulcerative colitis, Crohn's disease, and colorectal cancer. It defines these conditions and discusses their etiology, pathophysiology, clinical manifestations, diagnosis, medical management, surgical management, nursing management, and complications.
The document discusses various gastrointestinal conditions including constipation, diarrhea, and fecal incontinence. It provides information on the causes, clinical manifestations, diagnostic evaluation, complications, and medical and nursing management of each condition. The learning objectives cover using the nursing process to care for patients with gastrointestinal diseases and conditions affecting the colon, rectum, and anus.
The document provides an overview of the gastrointestinal tract, including its main divisions and organs. It describes the functions of the mouth, esophagus, stomach, small intestine, large intestine, liver, gallbladder and pancreas. It discusses symptoms of gastrointestinal diseases like abdominal pain, dysphagia, nausea, vomiting, gastrointestinal bleeding, constipation, diarrhea and gastroesophageal reflux disease. It also covers causes, symptoms and treatments of peptic ulcers.
Diverticulitis Surgery - Procedure and Recovery Southlake.pdfMeghaSingh194
Diverticulitis happens when small pockets in digestive tract, called as diverticula, get inflamed. Diverticula frequently become inflamed once they become infected. Let's explore more: https://www.southlakegeneralsurgery.com/diverticulitis-surgery-procedure-and-recovery-southlake/
The document provides information on disorders of the gallbladder and pancreas. It begins with learning objectives related to cholelithiasis, cholecystitis, pancreatitis, and surgical treatment of pancreatic tumors. Key topics covered include risk factors for cholelithiasis, clinical manifestations, diagnostic findings, medical and surgical management of gallbladder disorders, and types of acute and chronic pancreatitis. Nursing implications are also discussed for various diagnostic and treatment procedures.
This document provides information on Biliary Dyskinesia (BD), a motility disorder that affects the gallbladder's ability to properly contract and relax, leading to digestive issues. It discusses the anatomy and role of the biliary system, signs and symptoms of BD such as abdominal pain and nausea, risk factors, diagnostic tests including HIDA scans, and treatment options like diet modifications, medications, and surgery. Nutritional guidelines for BD focus on managing symptoms by following a low-fat diet, staying hydrated, using probiotics and supplements, and maintaining a healthy weight.
Colostomy power point is very important for studentstembotisa26
This topic will help health worker to know what colostomy is and it will help them to have knowledge on the management of the patient with this condition
This document provides information about cholecystectomy surgery, which is the removal of the gallbladder. It discusses why the surgery is common due to poor lifestyle habits leading to gallbladder issues like gallstones. It describes the types of cholecystectomy procedures including laparoscopic and open surgery. It outlines the pre-operative, operative, and post-operative management of patients including risks, diet restrictions, and physiotherapy practices to aid recovery.
The document discusses biliary dyskinesia, a disorder where the gallbladder does not contract and empty properly, causing digestive issues. It describes the anatomy and role of the biliary system, signs and symptoms of biliary dyskinesia including abdominal pain and nausea, potential causes, diagnostic tests and treatments including diet changes and medication. Nutritional guidelines recommend a low-fat diet, fiber, staying hydrated, supplements, weight management and probiotics to support gallbladder function and digestion.
This document provides information on diarrhea, including its definition, types, causes, symptoms, diagnostic evaluations, management, and nursing considerations. Diarrhea is defined as 3 or more loose stools per day. It can be classified as acute or chronic based on duration. Causes include viral, bacterial, and parasitic infections. Management involves rehydration, antidiarrheal medications, and antibiotics in some cases. Key nursing diagnoses for patients with diarrhea include deficits in fluid volume and nutrition.
This document outlines learning objectives and content about various gastrointestinal conditions including gastritis, peptic ulcers, morbid obesity, and gastric cancer. The key learning objectives are to use the nursing process as a framework for caring for patients with these conditions and to understand their etiology, clinical manifestations, diagnosis, medical and surgical management, complications and home care needs.
The document discusses cholecystitis and cholelithiasis. It begins by reviewing the anatomy of the gallbladder and its connection to the liver and bile ducts. It then defines cholecystitis as inflammation of the gallbladder, which can be acute or chronic, and calculous or acalculous. The pathophysiology of calculous cholecystitis involves gallstones obstructing bile flow and damaging the gallbladder walls. Clinical features include pain in the upper right abdomen and fever. The document also defines cholelithiasis as gallstone formation, discusses the types of gallstones, risk factors like obesity and genetics, and the pathophysiology of cholesterol crystals forming in supersaturated bile and
Presentation on small intestine disorder RakhiYadav53
This document discusses several disorders of the small intestine, including inflammation, infection, malabsorption, and obstruction or perforation. It covers the anatomy, physiology and risk factors. Specific conditions like Crohn's disease and ulcerative colitis are examined in terms of their causes, symptoms, diagnostic tests and medical or surgical management. Nursing assessments and care plans are also outlined to address needs like pain management, nutrition, and anxiety reduction. A clinical study abstract analyzes symptoms, etiologies and diagnostic methods for small intestine diseases.
Cholecystitis is inflammation of the gallbladder which can be acute or chronic. It is mainly caused by gallstones and has signs and symptoms like pain in the upper right abdomen and fever. It is diagnosed using ultrasound or other imaging tests and treated with pain medications, antibiotics, and sometimes surgery to remove the gallbladder. Nurses help manage symptoms, monitor for complications, provide education to patients, and address risks like infection, dehydration, and nutritional imbalances.
Surgical Options for Ruptured Gallbladder.pdfMeghaSingh194
When it comes to treating a ruptured gallbladder, there are several surgical options available to patients. The choice of procedure will depend on various factors, such as the severity of the rupture, the patient’s overall health, and the presence of any complications. Let's explore more: https://www.southlakegeneralsurgery.com/surgical-options-for-ruptured-gallbladder/
UNIT 5.2 PHYSIOLOGICAL CONCEPTS AND PHYSICAL CHARACTERISTICS: Estrogens replacement therapy is commenced on the basis of dependent or previously estrogen sensitive women.
Low dose estrogens for short period to improve metabolic state. Estrogens therapy relieves unpleasant symptoms such as hot flashes and vaginal dryness and also appeared to protect against postmenopausal conditions such as osteoporosis and heart disease
A wound is a break or cut in the continuity of any body structure, internal or external caused by physical means.
A wound is a type of injury which happens relatively quickly in which skin is torn, cut, or punctured (an open wound), or where blunt force trauma causes a contusion (a closed wound).
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This document discusses substance abuse, focusing on alcohol overdose and cannabis intoxication. It defines substance abuse and lists the most common substances abused, including alcohol and cannabis. For alcohol overdose, it describes the lethal dose, signs and symptoms, diagnosis involving breathalyzer or blood tests, and emergency management following CAB principles. For cannabis intoxication, it discusses lethal doses, causes of dependency and overdose, signs of dependency and overdose, diagnosis using urine tests, and general emergency management involving supportive care.
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Many substances such as drugs, carbon monoxide, food poisoning, organo-phosphorus are poison.
Poisoning can be an accident or a planned action.
Organophosphate poisoning is poisoning due to organophosphates (OPs). Organophosphates are used as insecticides, medications, and nerve agents.
Symptoms include increased saliva and tear production, diarrhea, vomiting, small pupils, sweating, muscle tremors, and confusion.
Other names: Organophosphate toxicity
Causes: organophosphates
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The airway is a complex system of tubes that conveys inhaled air from nose and mouth into the lungs.
An obstruction may partially or totally prevent air from getting into lungs.
Acute upper airway obstruction is a life-threatening medical emergency.
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The document provides information on the care of patients undergoing traction. It defines traction as applying a pulling force to part of the body. Traction is used to provide alignment, reduce muscle spasms, prevent deformities, provide immobilization, and increase space between opposing surfaces. The document outlines different types of traction including skin, skeletal, and manual traction. It discusses nursing responsibilities like ensuring comfort, preventing complications, educating patients, and promoting exercise and mobility.
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It is most frequently recognized in particularly in elderly people and does occur in sexes, all races, and all age groups.
Osteoporosis is a preventable disease that can result in disturbing physical, psychosocial, and economic consequences.
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2) It can be classified as acute (less than 2 weeks), subacute (2-6 weeks), or chronic (over 6 weeks) based on duration of symptoms. It can also be classified based on mechanism of infection such as exogenous (from outside trauma/surgery) or hematogenous (from another infectious site).
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These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
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Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
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4. content
• Introduction of Cholicystitis
• Types
• Etiology
• Pathophysiology
• Clinical features
• Diagnostic evaluation
• Management:
Medical Management
Surgical Management
6/29/2022 4
5. Introduction Of Cholelithiasis
It is derived from Greek
word ‘chol’ means bile,
‘lith’ means stone and
‘iasis’ means process.
• Cholelithiasis is defined
as stone formation in gall
bladder.
• Choledocholelithiasis :
Stone in common bile
duct.
6/29/2022 5
7. Types
There are two types of gallstones:
Cholesterol stones are the result of bile that is made of
too much cholesterol or bilirubin and not enough bile
salts.
Cholesterol stones may also form when the gallbladder
fails to empty during the digestive process.
These are usually seen as yellow-green gallstones (most
common type).
6/29/2022 7
8. Types contd…
Pigment stone: are dark in color ,made up of
bilirubin and calcium salts. It is of two types as;
- Black pigment stone: occurs in individual
whose hemoglobin breaks down rapidly leading
to increased production of the bile pigment
bilirubin. Eg. Sickle cell anemia, liver cirrhosis.
- Brown pigment stone: formed when
cholesterol stone colonize with bacteria. Both
male and female are at equal risk.
6/29/2022 8
11. Etiology
• Gender i.e. women 4 times more likely to develop cholesterol stone
than men.
• Use of estrogen and cholesterol lowering drugs
• Bile and mal absorption with GI disease
• Genetic disposition ( 25% of cases)
• Rapid wt loss
• Pigment stones occurs when free bilirubin combines with calcium
• Diet rich in refined carbohydrate and saturated fat is associated
with a higher risk for
• gallstones.
• Multiparity
• Women of reproductive age group
6/29/2022 11
12. Pathophysiology
6/29/2022 12
Hypo activity of gall bladder
Stasis of bile
Excessive absorption of water by gall bladder wall
Cholesterol precipitates the formation of crystals
Bile supersaturated with cholesterol
Formation of cholesterol stone
13. Clinical features:
• May be silent, producing no pain or only mild GI
symptoms
• May be acute or chronic with epigastric distress
(fullness, abdominal distention, and vague upper right
quadrant pain), may follow a meal rich in fried or fatty
food
• Biliary colic: right upper abdominal pain radiating to
back or right shoulder associated with nausea and
vomiting
• Jaundice: clay colored stools, itching skins, dark urine
• Temperature increased 80%
6/29/2022 13
14. Clinical features contd…
• If the cystic duct is obstructed, the gallbladder
becomes distended, inflamed and eventually
infected; fever and palpable abdominal mass;
nausea and vomiting several hours after heavy
meal, restlessness and constant or colicky pain.
• Deficiencies of vitamin A, D, E and K (fat
soluble vitamins)
6/29/2022 14
15. Diagnostic Evaluation:
• History taking
• Physical examination
• Blood investigation
• Radiological test
• Abdominal Ultrasound :detect GB stone in 90 %
6/29/2022 15
16. Diagnostic Evaluation contd…
• CT scan and MRI
• Cholecystography: radioactive agent is given
IV and then biliary tract is scanned
• Percutaneous trans hepatic cholangiography
(PTC)
• Endoscopic Retrograde
Cholangiopancreatography (ERCP)
6/29/2022 16
18. Treatment and Management
• Supportive :rest , IV fliud, NG suction, analgesic and
antibiotics, antiemetics and antacids
• Diets : decreased fat , fried foods cheese, alcohol,
porks etc.
• Pharmacological therapy:
(Chenodeoxycholic acid) CDCA (cholesterol dissolving
agent )
(Urosodeoxycholic acid) UDCA,ursodiol
They are given in pill form to dissolve cholesterol
gallstones. However, they may take 2 years or longer to
work, and the stones may return after treatment end.
6/29/2022 18
19. Treatment and Management contd…
• Non surgical removal of gallstone:
Extracorporeal shock wave lithotripsy
(ESWL).
• Surgical Intervention: Cholecystectomy
(Surgical Laparoscopic/open) ,
Cholecdochotomy( removal of common bile
duct)
6/29/2022 19
21. Nursing Management
Assessment
• Obtain history of precipitating factors such as alcohol
abuse, biliary disease.
• Perform abdominal examination, assessing for
ascites.
• Observe for pain, skin integrity bleeding
• Assess daily weight and abdominal girth
measurement.
6/29/2022 21
22. Nursing Diagnosis
• Activity intorelence related to fatigue and
discomfort
• Acute pain and discomfort related to surgical
incision
• High risk of infection related to operative
procedure.
• Imbalanced nutrition, less than body
requirements, related to inadequate bile
secretion
6/29/2022 22
23. Nursing Diagnosis contd…
• Impaired skin integrity related to altered
biliary drainage after surgical intervention.
• Deficient knowledge about self-care activities
related to incision care, dietary modifications
(if needed), medications, reportable signs or
symptoms (e.g, fever, bleeding, vomiting
6/29/2022 23
24. Nursing Intervention
1. Promoting activity intolerance
• Encouraging alternate period of rest and ambulation.
• Maintain some period of best rest with legs elevated
to mobilize edema and ascites.
• Encourage and assist with gradually increasing period
of exercise.
6/29/2022 24
25. Cont.
2. Relieving pain
• Observe and document location, severity and character of pain
• Splint the affected site and to take shallow breaths to prevent
pain.
• Administer analgesic agent as prescribed
• Helping the patient to turn, cough, breathe deeply and
ambulate as indicated.
• Use of a pillow over the incision.
• Control environment temperature.
• Encourage use of relaxation techniques
• Provide diversional activities
6/29/2022 25
26. Cont.
3. Improving nutritional status
• Encourages the patient to eat a diet low in fats and high
in carbohydrates and proteins immediately after surgery
• Fat restriction usually is lifted in 4 to 6week. This is in
contrast to before surgery, when fats may not be
digested completely or adequately, and flatulence may
occur
• Suggest small frequent feeding and attractive meals in
an aesthetically pleasing meal setting at mealtime.
• Encourage oral hygiene before meals
• Administer medication for nausea, vomiting, diarrhea
or constipation.
6/29/2022 26
27. Cont.
4. Improving skin integrity
• Necessitating frequent changes of the outer dressings
and protection of the skin from irritation because bile
is corrosive to the skin
• Every 24 hours, measures the bile collected and
records the amount, color, and character of the
drainage.
• After several days of drainage, the tube may be
clamped for an hour before and after each meal to
deliver bile to the duodenum to aid in digestion
6/29/2022 27
28. Cont.
• In all patients with biliary drainage, the nurse
observes the stools daily and notes their color.
• Specimens of both urine and stool may be sent to the
laboratory for examination for bile pigments.
• Maintaining a careful record of fluid intake and
output is important.
6/29/2022 28
29. 5. Patient Education
Managing pain
• Sitting upright in bed or a chair or walking may ease
the discomfort.
• Analgesic medication as needed and as prescribed
• Report to surgeon if pain is unrelieved even with
analgesic use.
6/29/2022 29
30. 5. Patient Education Cont…
Resuming Activity
• Light exercise (walking) immediately.
• Shower or bath after 1 or 2 days
• Avoid lifting objects exceeding 5 pounds after
surgery, usually for 1 week.
6/29/2022 30
31. 5. Patient Education Cont...
Caring for the Wound
• Check puncture site daily for signs of infection.
• Wash puncture site with mild soap and water.
• Allow special adhesive strips on the puncture site to fall
off. Do not pull them off
Resuming Eating
• Resume your normal diet.
• If you had fat intolerance before surgery, gradually add fat
back into your diet in small increments.
6/29/2022 31
32. 5. Patient Education Cont…
Managing Follow-Up Care
• Make an appointment with surgeon for 7 to 10 days
after discharge.
• Report surgeon if experience any signs or symptoms
of infection at or around the puncture site: redness,
tenderness, swelling, heat, or drainage.
• Report surgeon if experience a fever of 37.7°C
(100°F) or more for 2 consecutive days.
• Report surgeon if you develop nausea, vomiting, or
abdominal pain.
6/29/2022 32
33. Prevention:
• Eat three well balanced meal everyday
• Eat a diet that is high in fibre and calcium
• Avoid saturated fats and refined carbohydrate
in diet
• Drink at least 8-10 glass of water daily
• Maintain healthy body weight
• Exercise for at least 30min for 5 days a week
• Avoid taking high dose of birth control pills.
6/29/2022 33
37. Types of cholecystitis:
• Acute Cholecystitis :
Calculous:It is the obstructive cholecystitis due to
gall stones having the most common variety in
which around 90% of people having gall stones
suffers.
Acalculous: It is the non obstructive type which is
common in person suffering from major illness like
severe sepsis, burns, DM, dehydration, multiple
injury etc.
• Chronic Cholecystitis (long-term) (repeated
inflammation and infection of gallbladder)
6/29/2022 37
38. Etiology
I. Calculas acute cholecystitis
• Gall stone
II. Acalculas acute cholecystitis
• Serious trauma or burns
• Prolonged labor
• Orthopedic and other nonbiliary major surgical
operations in the postoperative period.
• Biliary sludge in the cystic duct
• Vasculitis
• Obstructing adenocarcinoma of the gallbladder
6/29/2022 38
39. Etiology
• Diabetes mellitus
• Torsion of the gallbladder
• Bacterial infections of the gallbladder (e.g., Escherichia
coli, Klebsiella species Streptococcus, Clostridium,
Leptospira, Streptococcus, Salmonella, and Vibrio
cholerae).
• parasitic infestation of the gallbladder
• Acalculous cholecystitis may also be seen with a
variety of other systemic disease processes (sarcoidosis,
cardiovascular disease, tuberculosis, syphilis,
actinomycosis, etc.).
6/29/2022 39
43. Diagnostic evaluation:
• Complete blood count (CBC). This test
measures your white blood cell count. You
may have a high white blood cell count if you
have an infection.
• Liver function tests. A group of special blood
tests that can tell if your liver is working
properly.
• Ultrasound (also called sonography)
• Belly X-ray
6/29/2022 43
45. Medical management:
• Goal- to treat symptomatic causes
• To prevent complication
• Taking bacteria-fighting medicines (antibiotics) to
fight the infection
• Taking fluids and pain medicines by IV (through a
vein or intravenously)
• Keeping your stomach empty until your
symptoms ease
6/29/2022 45