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Acute Gallbladder - CRASH! Medical Review Series 

Paul Bolin, M.D.
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(Disclaimer: The medical information contained herein is intended for physician medical licensing exam review purposes only, and are not intended for diagnosis of any illness. If you think you may be suffering from any medical condition, you should consult your physician or seek immediate medical attention.)

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30 июн 2024

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Комментарии : 39   
@DrDinooshDeLivera
@DrDinooshDeLivera 6 лет назад
Reynold's Pentad for Obstructive Ascending Cholangitis: 1) Right Upper Quadrant Pain, 2) Obstructive jaundice 3) Fever 4) Hypotension / Hypovolemic Shock 5) Confusion / Altered mental status
@Daniel-rk2qz
@Daniel-rk2qz 7 лет назад
dude!! u are literally saving my life.
@mawaddashaban477
@mawaddashaban477 5 лет назад
I think B HCG is more important because the pt may have ectopic pregnancy in case of RUQ pain , thank you so much for your help.
@amareendhaliwal4423
@amareendhaliwal4423 4 года назад
Thanks for integrating multiple ultrasound images into this!
@69minalshahare84
@69minalshahare84 3 года назад
Thank you keep doing the good work. The best video on RU-vid about this topic 😇
@lorenzocrumbie4306
@lorenzocrumbie4306 8 лет назад
Charcot's triad (RUQ pain, jaundice and fever..and it is for ascending cholangitis); Reynolds' pentad (RUQ pain, jaundice, fever, hypotension[shock] and confusion[altered mental status]) diagnosing obstructive ascending cholangitis.
@briantraub5462
@briantraub5462 8 лет назад
+Lorenzo Crumbie if you have complete obstruction of the common bile duct, there would be a clinical picture consistent with choledocholithiasis. not unless there is some degree of patency in the bile duct can pathogens "ascend" and cause infection
@ahamedismail4595
@ahamedismail4595 8 лет назад
+Lorenzo Crumbie reynolds pentad is just a severe condition of cholangitis .obstructive is the main cause which result in cholangitis if its not treated immeditely pts may progress from charcot to reynolds symptoms.....if im wrong pls crt me....
@ArjanK1206
@ArjanK1206 6 лет назад
Fantastic lecture. Cheers
@mercyorafunam4191
@mercyorafunam4191 7 лет назад
it's charcot's triad ....the one you forgot
@ouwaisalkhateb2223
@ouwaisalkhateb2223 4 года назад
Amazing lecture, thanks doctor
@DrDinooshDeLivera
@DrDinooshDeLivera 6 лет назад
Charcot's triad: 1) Severe Right Upper Quadrant Pain 2) Obstructive / Mechanical Jaundice 3) High Swinging Fever
@DrDinooshDeLivera
@DrDinooshDeLivera 6 лет назад
For Ascending Cholangitis
@xDomglmao
@xDomglmao 5 лет назад
@@DrDinooshDeLivera Had it on a test yesterday and mixed it up :,-(
@marwaa2895
@marwaa2895 3 года назад
Thank you soooo much doctor Paul ❤
@ejioguonyedika7946
@ejioguonyedika7946 8 лет назад
hepatobiliary iminodiacetic acid (HIDA)
@dinooshd
@dinooshd 6 лет назад
Thank you!
@SuperLLL
@SuperLLL 8 лет назад
Isn't Charcot's trial (RUQ pain, jaundice, and fever) already a sign of ascending cholangitis? Shouldn't fever be absent in choledochocholithiasis?
@Rvlyra67
@Rvlyra67 6 лет назад
yep, it is
@dhillon09
@dhillon09 6 лет назад
i got stuck on this too. You are right -- the things I've found say choledocholiathisis increases risk of ascending cholangitis / acute ascending cholangitis. Ascending Cholangitis = Charcots triad of RUQ pain + Fever + Jaundice Acute Ascending Cholangitis = Reynolds Pentad which is [Charcots triad] + hypotension/shock and altered mental status
@arielchasipanta2237
@arielchasipanta2237 4 года назад
sounds right, i was a lil confused too
@jaritshyortega5606
@jaritshyortega5606 7 лет назад
Thank you.
@MrHaloman3
@MrHaloman3 6 лет назад
Excellent.
@maxey1992
@maxey1992 7 лет назад
thank you!
@mathiassari6499
@mathiassari6499 2 года назад
💯🚀🙌precise explanation!
@mushihussain6633
@mushihussain6633 3 года назад
thank you
@kevinireland8020
@kevinireland8020 3 года назад
@ 12:33 you say this isn't an obstruction, you then state that 75% of cases have an obstuction, then @ 18:57 you show a stone obstucting the cystic duct. Clearification needed.
@ryanhoyle5389
@ryanhoyle5389 10 месяцев назад
Hi - I have a question about cholecystectomy for patients with acute cholecystitis. I think current NICE guidance recently changed so that anyone with acute cholecystitis is offered a laparoscopic cholecystectomy within one week. Have you noticed a change over the past few years towards favouring early surgery rather than waiting for resolution of symptoms?
@zuhairyassin505
@zuhairyassin505 4 года назад
what do you mean when you step 3 ? is it surgical residency or internship ?
@krispringlez8292
@krispringlez8292 5 лет назад
woah that actually alll made way more sense .,,, thank you
@ahmedsalmanabd6292
@ahmedsalmanabd6292 Год назад
Thank sir
@saharhayat4171
@saharhayat4171 8 лет назад
sorry u r right mattia...ascending cholangitis or acute cholangitis r same
@wisdommwewa4182
@wisdommwewa4182 3 года назад
Is it possible to access these slides?
@rucha_s
@rucha_s 7 лет назад
Is it charcoats triad u were talking about Dr
@saharhayat4171
@saharhayat4171 8 лет назад
its a sign of acute cholangitis not ascending ..I think..
@mashalazhar3070
@mashalazhar3070 10 месяцев назад
Jesus! Saved me!
@mashalazhar3070
@mashalazhar3070 10 месяцев назад
When i were on syed ali wasif treatment so muslims from their cars used to show me light to blink my eyes, like aafiya siddiqua, so stop letting that to happen with me
@mohiuddinalfarra5440
@mohiuddinalfarra5440 5 лет назад
Thank you.
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