Podcasts about Cholecystitis

This recording features audio versions of December 2024 Journal of Vascular and Interventional Radiology (JVIR) abstracts:Safety and Effectiveness of Large-Bore Percutaneous Cholangioscopy–Assisted Gallstone Retrieval for Inoperable Calculous Cholecystitis: A Multi- Institutional Retrospective Study ReadGenicular Artery Embolization for Treatment of Symptomatic Knee Osteoarthritis—2-Year Outcomes from a Prospective IDE Trial ReadDoxycycline Sclerotherapy of Aneurysmal and Unicameral Bone Cysts in the Appendicular Skeleton and Pelvis: Single-Center 14-Year Experience ReadIrreversible Electroporation in Treating Colorectal Liver Metastases in Proximity to Critical Structures ReadComparison of Effectiveness and Safety of Microwave Ablation of Colorectal Liver Metastases Adjacent versus Nonadjacent to the Diaphragm ReadEffectiveness of Initial and Repeat Drug-Coated Balloon Angioplasty of Restenotic Arteriovenous Fistulae Compared with That of Plain Angioplasty ReadJVIR and SIR thank all those who helped record this episode. To sign up to help with future episodes, please contact our outreach coordinator at millennie.chen.jvir@gmail.com.  Host:Manbir Singh Sandhu, University of California Riverside School of MedicineAudio editor:Sonya Choe, University of California Riverside School of MedicineOutreach coordinator:Millennie Chen, University of California Riverside School of MedicineAbstract readers:Hannah Curtis, Loma Linda University School of MedicineSunil Balamurugan, Western University of Health Sciences - College of Osteopathic Medicine of the PacificSiddak Dhaliwal, University of Missouri School of MedicineMillennie Chen, University of California Riverside School of MedicineCrystal Chin, Touro University Montana College of Osteopathic MedicineDaniel Roh, Loma Linda University School of MedicineSIR thanks BD for its generous support of the Kinked Wire.Contact us with your ideas and questions, or read more about about interventional radiology in IR Quarterly magazine or SIR's Patient Center.(c) Society of Interventional Radiology.Support the show

In this episode, we review the high-yield topic of ⁠Acute Cholecystitis⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠from the Gastrointestinal section. Follow ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Medbullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets Linkedin: https://www.linkedin.com/company/medbullets

In this episode, we will dive into the often overlooked but potentially painful world of cholecystitis and gallstones. These conditions can cause significant discomfort and may lead to serious complications if not properly managed. We will explore the symptoms, causes, and risk factors associated with cholecystitis and gallstones, as well as the diagnostic methods used to identify them. Additionally, we will discuss the various treatment options available, ranging from lifestyle changes and medications to surgical interventions. Join Dr. Niket Sonpal as we shed light on this important digestive issue and provide valuable insights to help you better understand and manage cholecystitis and gallstones. July 29, 2024 — Do you work in primary care medicine? Primary Care Medicine Essentials is our brand new program specifically designed for primary care providers to increase their core medical knowledge & improve patient flow optimization. Learn more here: Primary Care Essentials —

Welcome to Episode 35 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants! Show Notes for Episode 35 of “The 2 View” – the spring editorial edition! POCUS in the ED for Cholecystitis March 2024: Annals of Emergency Medicine. SoundCloud. Published January 2022. Accessed May 2, 2024. https://soundcloud.com/annalsofem/march-2024 The Center for Medical Education. Upper Abdominal Disorders | The EM Boot Camp Course. YouTube. Published July 12, 2022. Accessed May 2, 2024. https://www.youtube.com/watch?v=ESxRdeEYeHk Wilson SJ, Thavanathan R, Cheng W, et al. Test Characteristics of Emergency Medicine-Performed Point-of-Care Ultrasound for the Diagnosis of Acute Cholecystitis: A Systematic Review and Meta-analysis. Ann Emerg Med. Published October 18, 2023. Accessed May 2, 2024. https://www.annemergmed.com/article/S0196-0644(23)01214-3/abstract PECARN Validation Holmes JF, Yen K, Ugalde IT, et al. PECARN prediction rules for CT imaging of children presenting to the emergency department with blunt abdominal or minor head trauma: a multicentre prospective validation study. Lancet Child Adolesc Health. PubMed. NIH: National Library of Medicine: National Center for Biotechnology Information. Published May 2024. Accessed May 2, 2024. https://pubmed.ncbi.nlm.nih.gov/38609287/ PECARN Pediatric Head Injury/Trauma Algorithm. MDCalc. Accessed May 2, 2024. https://www.mdcalc.com/calc/589/pecarn-pediatric-head-injury-trauma-algorithm PECARN Pediatric Intra-abdominal injury (IAI) algorithm. MDCalc. Accessed May 2, 2024. https://www.mdcalc.com/calc/3971/pecarn-pediatric-intra-abdominal-injury-iai-algorithm PECARN Spotlight: Tools Validated. EM Pulse PodcastTM. EM Pulse PodcastTM - Bringing research and expert opinion to the bedside. Published April 18, 2024. Accessed May 2, 2024. https://ucdavisem.com/2024/04/18/pecarn-spotlight-tools-validated/ Recurring Sources Center for Medical Education. Ccme.org. http://ccme.org The Proceduralist. Theproceduralist.org. http://www.theproceduralist.org The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx The Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.com Trivia Question: Send answers to 2viewcast@gmail.com Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at 2viewcast@gmail.com and tell us who you want to give a shout-out to. Be sure to listen in and see what we have to share!

In this episode I have discussed epidemiology, etiopathogenesis, clinical features, diagnostic investigations, Complications and treatment of Acute Cholecystitis.

Gallstones are the hardened precipitates—“stones”—of the substrates found in bile. The liver makes bile to help digest fats, and the bile is stored in the gallbladder. When there is an excess of a particular substance in the bile (eg, cholesterol or unconjugated bilirubin), gallstones form in the gallbladder. Gallstones can be as small as a grain of sand, as large as a golf ball, or any size in between. Gallstones are very common and usually do not cause any symptoms. But not all gallstones stay in the gallbladder. After listening to this AudioBrick, you should be able to: Define, compare, and contrast cholelithiasis, cholangitis, choledocholithiasis, and cholecystitis, listing the most common causes of each. Describe the structure and pathogenesis of cholesterol and pigment gallstones. List the major risk factors for development of gallstones, describe the typical clinical course, and list the potential complications. Distinguish acute and chronic cholecystitis, and describe the clinical presentation, signs, and lab abnormalities. Describe the treatment of gallstones and acute cholecystitis. You can also check out the original brick on Cholelithiasis and Cholecystitis from our Gastrointestinal collection, which is available for free. Learn more about Rx Bricks by signing up for a free USMLE-Rx account: www.usmle-rx.com You will get 5 days of full access to our Rx360+ program, including nearly 800 Rx Bricks.  After the 5-day period, you will still be able to access over 150 free bricks, including the entire collections for General Microbiology and Cellular and Molecular Biology. *** If you enjoyed this episode, we'd love for you to leave a review on Apple Podcasts.  It helps with our visibility, and the more med students (or future med students) listen to the podcast, the more we can provide to the future physicians of the world. Follow USMLE-Rx at: Facebook: www.facebook.com/usmlerx Blog: www.firstaidteam.com Twitter: https://twitter.com/firstaidteam Instagram: https://www.instagram.com/firstaidteam/ YouTube: www.youtube.com/USMLERX Learn how you can access over 150 of our bricks for FREE: https://usmlerx.wpengine.com/free-bricks/

VISIT US AT ⁠⁠⁠⁠⁠NCLEXHIGHYIELD.COM⁠⁠⁠⁠⁠ No matter where you are in the world, or what your schedule is like, access the entire course at ⁠⁠⁠⁠⁠⁠⁠www.NCLEXHighYieldCourse.com⁠⁠⁠⁠⁠⁠⁠  The NCLEX High Yield Podcast was featured on ⁠⁠⁠⁠⁠⁠⁠Top 15 NCLEX Podcasts⁠⁠⁠⁠⁠⁠⁠! Make sure you ⁠⁠⁠⁠⁠⁠⁠JOIN OUR NEW VIP FACEBOOK GROUP!⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠https://nclexhighyield.com/blogs/news/nclex-high-yield-quick-links⁠⁠⁠⁠⁠⁠⁠ A topic that confuses many, but listen to how Dr. Zeeshan breaks this bad boy down! Many people get overwhelmed with all the information that's out there, we keep it simple! Join us weekly for FREE Zoom Sessions and be one of the many REPEAT test takers that passed the exam by spending NO MONEY with NCLEX High Yield! NCLEX High Yield is a Prep Course and Tutoring Company started by Dr. Zeeshan in order to help people pass the NCLEX, whether it's the first time , or like the majority of our students, it's NOT their first time. We keep things simple, show you trends and tips that no one has discovered, and help you on all levels of the exam! Follow us on Instagram: ⁠⁠⁠⁠@NCLEXHighYield ⁠⁠⁠⁠or check out our website www.NCLEXHighYield.com Make sure you join us for our FREE Weekly Zoom Sessions! Every Wednesday 3PM PST / 6PM EST. Subscribe to our newsletter at ⁠⁠⁠⁠⁠⁠nclexhighyield.com⁠⁠⁠⁠⁠⁠ --- Support this podcast: https://podcasters.spotify.com/pod/show/nclexhighyield/support

In this enlightening episode of our medical podcast series, we delve into the critical topic of cholecystitis, a common condition encountered by general surgeons. Our expert guests discuss the nuances of diagnosing and managing both acute and chronic forms of cholecystitis, with a particular focus on the distinctions between calculus and acalculous cholecystitis. We explore the importance of a thorough assessment and the various treatment options available, including the significance of laparoscopic cholecystectomy. Special attention is given to the management challenges posed by diabetic patients who are at a higher risk for severe complications. Whether you're a medical professional looking to refresh your knowledge or a student preparing for exams, this episode is packed with valuable insights and practical advice on handling this prevalent surgical condition.Engage with Us!

Interview with Mariam N. Hantouli, MD, and Giana H. Davidson, MD, MPH, authors of Operative vs Nonoperative Management of Acute Cholecystitis During the Different Trimesters of Pregnancy. Hosted by Amalia Cochran, MD. Related Content: Operative vs Nonoperative Management of Acute Cholecystitis During the Different Trimesters of Pregnancy

Interview with Mariam N. Hantouli, MD, and Giana H. Davidson, MD, MPH, authors of Operative vs Nonoperative Management of Acute Cholecystitis During the Different Trimesters of Pregnancy. Hosted by Amalia Cochran, MD. Related Content: Operative vs Nonoperative Management of Acute Cholecystitis During the Different Trimesters of Pregnancy

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode, Nurse Doza discusses the topic of bloating and provides tips on how to reduce it. Bloating is a common issue, with nearly 40% of the general population reporting experiencing it. Nurse Doza encourages listeners to take note of their own symptoms and do their own research to find strategies that work for them. This episode aims to empower listeners to take action and find relief from bloating.   00:00 START 02:29 Tips to reducing bloat. 07:40 Elimination diet and bloating. 10:38 Gut and brain interaction. 13:52 L-glutamine supplementation and gut health. 17:48 Support your liver. 21:10 Supporting the liver 23:41 Depression and Serotonin Production. 28:08 Digestive issues and processed foods. 30:39 Serotonin and mood support.   Elevate your mood naturally with Bliss. Our carefully formulated supplement is designed to support neurotransmitter production, ensuring a balanced and joyful life. Before diving into the episode, don't forget to click the link and explore how Bliss can transform your everyday experiences. https://www.mswnutrition.com/products/bliss/?ref=nursedoza 1. Diet and Bloating Examine your diet to identify potential causes of bloat. Low Fermentable Oligo-, Di- and Mono-saccharides And Polyols (FODMAP) Diet is highly recommended for treating IBS symptoms¹. IBS diagnosis is based on the Rome IV criteria, highlighting the relation of abdominal pain with defecation and changes in bowel habits¹. A significant percentage of IBS patients, especially women, associate their symptoms with food intake. Bloating and abdominal pain are the most frequent complaints¹. Commonly reported dietary triggers include carbohydrates, fatty foods, coffee, alcohol, and hot spices¹. Gluten can disrupt bowel barrier functions, especially in certain patients akin to celiac individuals¹. Excessive fructose intake exacerbates NAFLD markers² and can disturb the intestinal barrier, intensifying liver inflammation and fructose conversion into fatty deposits³. ¹ ² ³ 2. Gut Health and Bloating Address gut health to alleviate bloating. DGBIs encompass conditions like IBS, reflux hypersensitivity, and functional dyspepsia⁴. Several factors, including past infections and psychological conditions, can lead to DGBIs⁴. Disorders of gut–brain interaction or FGIDs are recognized as microbiota–gut–brain abnormalities prevalent worldwide⁵. Gut microbiota is susceptible to changes due to varying factors like diet and psychological state⁵. Methanogenic microbes in the colon can lead to slowed gut transit and constipation due to serotonin depletion⁵. ⁴ ⁵ 3. Bloodwork and Bloating Seek bloodwork to identify underlying causes. hs-CRP is linked with NAFLD⁶. IBS has been found to predict higher hs-CRP levels⁷. Elevated ALT is often observed in IBS patients⁸. Excessive gas correlates significantly with liver steatosis and heightened ALT levels⁹. ⁶ ⁷ ⁸ ⁹ 4. Liver Health and Bloating Support the liver for better digestion. IBS symptoms like abdominal pain and bloating can also indicate NAFLD¹⁰. Cholecystitis can lead to abdominal bloating¹¹. The gallbladder isn't essential for a healthy life¹¹. ¹⁰ ¹¹ 5. Mood, Serotonin, and Bloating Maintain a balanced mood and serotonin levels to manage bloating. Serotonin has diverse intestinal functions¹². IBS might be associated with serotonin dysfunction affecting gut motility¹². Changes in serotonin levels can be addressed with specific medications for symptom relief¹³. Essential components for serotonin synthesis include tetrahydrobiopterin (BH4) and pyridoxine (vitamin B6)¹⁴. ¹² ¹³ ¹⁴ As you've learned today, neurotransmitter balance plays a crucial role in our overall well-being. Why not support your body's natural balance with Bliss? Click on the link to discover how this transformative supplement can amplify your health journey. https://www.mswnutrition.com/products/bliss/?ref=nursedoza  

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Follow along while you listen to this show!   Just head over to nclexbook.com to get our Free eBook -  NCLEX Flash Notes, with 77- MUST KNOW NCLEX nursing topics . . . and as a bonus, you'll receive 16 full-color nursing cheatsheet.   www.nclexbook.com Cholecystitis Flash Notes - The Best Way to Prep for NCLEX  Cholecystitis is an acute or chronic inflammation of the gallbladder. Master questions on Cholecystitis with this clear and concise content that will help you conquer the NCLEX exam. www.nclexbook.com  

Approach to workup of cholangitis, chronic cholecystitis, Gallstone Ileus, Cholangiocarcinoma including Klatskin tumor, Carcinoma of GB and Pancreas At the end some house-cleaning on iatrogenic complications of gallstone disease after ERCP and other procedures are discussed (including bile duct injury and bile leak); For SOD refer to previous episode on cholecystitis management and complications of cholecystectomy.

Question-based Review of Cholecystitis workup and management followed by addressing the complications of cholecystectomy.

In this radiology lecture, we review the ultrasound appearance of acute cholecystitis, including gangrenous and emphysematous cholecystitis! Key teaching points The post Ultrasound of Acute Cholecystitis appeared first on Radiologist Headquarters.

In this episode, we discuss the clinical presentation, severity grading, investigations and management for patients presenting with cholecystitis or cholangitis. Our medicine minute discusses a promising new technique for patients with non-operative cholecystitis. Podcast written by: Drs. Amine Zoughlami  and Ikram Abow-Mohamed (Internal Medicine residents)Reviewed by:  Dr. Constantine Soulellis (Gastroenterology) and Dr. Sanabelle Zaabat (Internal Medicine)Sound editing by: Alison laiSupport the show

Additional content and educational resources at ICUedu.org

In this episode we review some of the liver diseases of pregnancy including cholestasis, HELLP syndrome, Acute Fatty Liver Disease of Pregnancy, Cholecystitis, and Hepatitis B and C. We hope this episode helps you broaden your differential when it comes to these patients as well as think about and recognize some rare, but serious liver disorders in pregnancy.

In this episode, we review the high-yield topic of Acute Cholecystitis from the Gastrointestinal section. Follow Medbullets on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbulletsIn --- Send in a voice message: https://anchor.fm/medbulletsstep1/message

Acute Cholecystitis in Pregnancy --- Send in a voice message: https://podcasters.spotify.com/pod/show/suture-self/message

Episode 86: Abdominal Pain Case. Spikevax® is the brand name of the Moderna COVID-19, and it received full FDA approval in January 2022. Hepatitis B vaccine is now universally recommended to all adults between 19-59 years of age, or older than 60 with risk factors. Deidra Sieck presents a case of abdominal pain in pregnancy and differential diagnosis are discussed.  Introduction: Spikevax ® and Hepatitis B universal vaccination.  Written by Hector Arreaza, MD. Participation by Cecilia Covenas, MD.Spikevax®. This is the brand name given to the mRNA COVID-19 vaccine manufactured by Moderna. It was given full FDA approval for the prevention of COVID-19 in adults 18 years and older. This is the second vaccine approved by the FDA for the prevention of COVID-19 (the first vaccine was Comirnaty®, formerly known as Pfizer Vaccine.) The primary series of Spikevax for immunocompetent adults is comprised of 2 doses, 4 weeks apart. Immunocompromised patients receive a 3rd dose as part of the primary series, one month after the second dose. A booster shot of Spikevax is given at least 5 months after completing the primary series. Spikevax was also authorized for use as a “mix and match” single booster dose following completion of primary vaccination with a different COVID-19 vaccine. It means that recipients of the Pfizer and J&J vaccines who are 18 years and older may receive a single booster dose of Spikevax. The full FDA approval was granted to Spikevax on January 31, 2022.Did you know that Hepatitis B has killed 40 times more unvaccinated healthcare workers than HIV?  Yes, that's right. Hepatitis B is 50 to 100 times more infectious than HIV. It is transmitted by percutaneous or mucosal exposure to infected blood or other bodily fluids. As a reminder, immunizations against many diseases have been required for health care workers for decades, and hepatitis B is one of those required vaccines. That's not new, what's new is the new recommendation about universal Hep B vaccination. In November 2021, the ACIP (Advisory Committee on Immunization Practices from CDC) recommended universal adult Hepatitis B vaccination. After reviewing clinical evidence, the ACIP has unanimously voted to recommend the Hep B vaccine for all adults ages 19-59. Patients who should receive hep B vaccines are: all adults between 19 and 59 years of age, and adults older than 60 with risk factors for hepatitis B infection. However, adults older than 60 without risk factors may also receive hep B vaccines. Vaccinating against Hep B is done to decrease new infections, prevent transmission, and reduce health disparities. HHS has called for the elimination of viral hepatitis as a public health threat by 2030. There are some reasons to recommend universal Hep B vaccination for adults: many infected patients did not have any risk factors for infection and still got infected; almost 85% of adults in the U.S. fall into a higher-risk group, including patients with diabetes and kidney disease; hepatitis B cases in the U.S. rose by 11% between 2014 and 2018 despite having highly effective vaccines; Hep B is one of the primary causes of liver cancer, one of the deadliest cancers; universal vaccination of newborns started in 1991 in the U.S., so, many adults are not immune to Hep B, but now they can be vaccinated without the many restrictions imposed in the past.Remember, Spikevax is the new name for the Moderna vaccine; and you can start vaccinating all adults between 19 and 59 years of age against hep B, regardless of risk factors.This is Rio Bravo qWeek, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California. Our program is affiliated with UCLA, and it's sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home.___________________________Abdominal Pain Case.  By Deidra Sieck, MS4, Ross University School of Medicine. Hosted by Hector Arreaza, MD.   Abdominal pain in pregnancy is quite common and has a wide differential. I want to begin with a case and then highlight a few of the “do-not-miss” diagnoses when a patient comes with the chief complaint of abdominal pain during her pregnancy. Case presentation: 23-year-old G2P1 at 32 weeks of gestation complains of 12 hours of right lower quadrant abdominal pain, anorexia, and nausea with vomiting. She denies vaginal bleeding or leakage of fluid from the vagina. Denies diarrhea or eating stale foods. No medical history and has been in good health. Denies dysuria and has had no previous surgeries. Her vital signs include a blood pressure of 100/70 mm Hg, heart rate of 105 beats per minute, and temperature of 101.5 F. On abdominal examination, bowel sounds are hypoactive. The abdomen is tender in the right lower quadrant to right flank with significant involuntary guarding. The cervix is closed. The fetal heart tones are in the range of 160 BMP (modified vignette from case files obstetrics and gynecology 5th ed.)What are some of the differentials that come to mind? The 6 differentials that should come to mind that are do not miss diagnoses include:  Placental abruptionAppendicitis Cholecystitis Ectopic Pregnancy Hemorrhagic cyst Ovarian TorsionI want to discuss each of these diagnoses and then devise a plan for the patient in this case. Placental abruptionThis is the most common cause of third trimester bleeding and is an obstetric emergency. It occurs during the second and third trimesters and is described as a midline persistent suprapubic pain. The pain is also accompanied by vaginal bleeding as well as an abnormal fetal heart rate tracing.  Mothers at risk have had a previous abruption, hypertension during the pregnancy, cocaine use, smoking, or preterm premature rupture of the membranes, or trauma as the most common cause of the abruption. This diagnosis is made clinically. The ultrasound is an unreliable modality to see the abruption. If the mother is stable and it is not a complete abruption, the mother usually delivers the baby very quickly vaginally. However, if the abruption is complete, the fetal heart tracing is category III, or the mother is hemodynamically unstable, it is best to deliver by c-section. Appendicitis. Appendicitis can occur any trimester during pregnancy and has been found to occur in 0.1-1.4/1000 pregnancies. The typical nonpregnant patient with appendicitis will come with complaints of right lower quadrant pain that may radiate to the right upper quadrant. This is usually associated with other complaints of nausea, vomiting, anorexia, or fever. [Anorexia: 80% sensitive, The sign of the hamburger] However, this diagnosis may be missed later in pregnancy because of an atypical presentation. As the gravid uterus grows, it can displace the appendix upward and lateral toward the flank. This leads to a presentation that appears to be more consistent with pyelonephritis, leading to a missed diagnosis. Because of the delay in diagnosis pregnant women are 2-3 times more likely to have a ruptured appendix, and the resulting peritonitis increases the likelihood of morbidity and mortality for the patient.  If appendicitis progresses to appendiceal rupture, there is a 30% chance of spontaneous abortion of the fetus. These patients need an ultrasound to make the diagnosis since they cannot have a CT scan in pregnancy despite a CT scan being the preferred modality in nonpregnant patients. The ultrasound should show a non-compressible, blind-ended tubular structure in the right lower quadrant with a maximal diameter greater than 6mm.After the ultrasound confirms the diagnosis, these patients should be taken immediately for an appendectomy. However, the decreased resolution of imaging seen with ultrasound can also lead to delays in these patients receiving the appendectomy.Cholecystitis. Cholecystitis is more common in pregnancy, with occurrence in 1/1600 pregnancies. This can occur anytime in pregnancy after the first trimester. Pregnant women are especially high risk of cholecystitis since they are female and fertile. The other two “f's” that are commonly listed as risk factors for cholecystitis include forty, and obesity. [the F word is banned in this podcast]. Pathophysiology: The increased progesterone and estrogen increase bile lithogenicity. Progesterone also decreases gallbladder contractility. This increase in gallbladder volume and decreased contractility lead to an increase in “biliary sludge” in the gallbladder. The biliary sludge acts as a precursor to gallstones and obstruction of the cystic duct or the common bile duct. The patient with cholecystitis typically comes with complaints of pain in the right upper quadrant which can be associated with nausea, vomiting, anorexia, and fever. This is the same presentation as a patient in pregnancy. The complication of missing this diagnosis includes secondary infection with enteric flora such as: E. coli, Klebsiella, and Enterococcus faecalis.  Fetal loss is seen in 3-20% of pregnancies complicated by cholecystitis. The diagnosis is made with a careful history as well as an ultrasound showing gallstones with dilation and thickening of the gallbladder and gallbladder wall. Treatment should be started with bowel rest, IV hydration, correction of electrolytes, analgesics. They should be given antibiotics if no improvement after 12-24 hours or are experiencing systemic symptoms. If the medical management does not work, these patients should have a cholecystectomy.  The cholecystectomy will most likely be laparoscopic due to the gravid uterus making it difficult to perform an open approach. If in the third trimester and the patient is stable, the surgeon may opt to wait until after delivery to remove the gallbladder.Ectopic pregnancy. This is the leading cause of maternal mortality in the first and second trimesters. It usually presents during the first trimester as pelvic or abdominal pain that is usually unilateral. The patient could also complain of nausea, vomiting, syncope, or vaginal spotting. The diagnosis is made using a serum hCG that meets the threshold and transvaginal ultrasound. The treatment can be surgical or medical. If the pregnancy is early, methotrexate can be used. However, the hCG needs to be trended and followed to zero. A D&C can also be used to treat ectopic pregnancy. Surgery is the first treatment in a patient that is hemodynamically unstable. This diagnosis is not likely in our patient.Ruptured corpus luteum or ruptured hemorrhagic cyst. The corpus luteum cyst is part of a normal endocrine function or a result of prolonged progesterone. In pregnancy, the corpus luteum produces progesterone until 7-10 weeks' gestation until the placenta can produce steroids including hCG and progesterone to maintain the pregnancy. However, intrafollicular bleeding can occur because of the thin-walled capillaries that invade the granulosa cells from the theca interna. If there is excessive hemorrhage, the cyst can enlarge and rupture. The patients presenting with this complaint present with unilateral cramping and lower abdominal pain 1-2 weeks before the rupture. If the corpus luteum becomes hemorrhagic, a hemoperitoneum can develop. These women should undergo an ultrasound, which will show free intraperitoneal fluid. This could also include some fluid around the ovary. The confirmatory method for diagnosis is laparoscopy. Culdocentesis is a procedure that checks for abnormal fluid in the space just behind the vagina. This area is called the cul-de-sac. During a culdocentesis, a long thin needle is inserted through the vaginal wall just below the uterus and a sample is taken of the fluid within the abdominal cavity.Once the bleeding is controlled, there is no further treatment needed. However, if the patient requires a cystectomy due to continued bleeding and the pregnancy is less than 10 weeks, she will need exogenous progesterone because of the loss of the corpus luteum. Ovarian Torsion. Pregnancy is a risk factor for ovarian torsion, especially around 14 weeks and after delivery. Torsion is most likely between 10-17 weeks, and more likely to happen in masses 6-8 cm in diameter. Pregnant and nonpregnant patients have the same presentation, suprapubic or lower quadrant pain, nausea, and vomiting, up to 20% can have a fever. Plan for the patient in the case:1. Ultrasound: Showed a non-compressible, blind-ended tubular structure in the right lower quadrant with a maximal diameter of 7mm.2. Appendectomy: Take the patient to the OR.____________________________Now we conclude our episode number 86 “Abdominal Pain Case.” We started by giving you an update on Spikevax®, formerly known as “the Moderna vaccine”. This is the newest COVID-19 vaccine fully approved by the FDA for patients 18 years and older. Also, Hepatitis B vaccination is now recommended universally to all adults 19-59 regardless of risk factors. Then, Deidra presented a case of a patient who was pregnant and had abdominal pain. Surprisingly, her diagnosis was appendicitis. This is a good reminder that pregnant and nonpregnant patients can get appendicitis. Even without trying, every night you go to bed being a little wiser.Thanks for listening to Rio Bravo qWeek. If you have any feedback about this podcast, contact us by email RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. This podcast was created for educational purposes only. Visit your primary care physician for additional medical advice. This week we thank Hector Arreaza, Cecilia Covenas, and Deidra Sieck. Audio edition: Suraj Amrutia. See you next week! _____________________References:Coronavirus (COVID-19) Update: FDA Takes Key Action by Approving Second COVID-19 Vaccine, US Food and Drug Administration, January 31, 2022. https://www.fda.gov/emergency-preparedness-and-response/coronavirus-disease-2019-covid-19/spikevax-and-moderna-covid-19-vaccine. ACIP fully recommends Spikevax, as CDC expands wastewater surveillance, University of Minnesota, Center for Infectious Disease Research and Policy (CIDRAP), February 04, 2022. https://www.cidrap.umn.edu/news-perspective/2022/02/acip-fully-recommends-spikevax-cdc-expands-wastewater-surveillance.  ACIP recommends universal hepatitis B vaccination for adults aged 19 to 59 years, Healio.com, https://www.healio.com/news/infectious-disease/20211103/acip-recommends-universal-hepatitis-b-vaccination-for-adults-aged-19-to-59-years. Landmark vote by CDC's Advisory Committee on Immunization Practices (ACIP) to recommend universal hepatitis B vaccination, Hepatitis B Foundation, November 4, 2021. https://www.hepb.org/news-and-events/news-2/the-cdcs-advisory-committee-on-immunization-practices-acip-voted-to-recommend-universal-hepatitis-b-vaccination/ Ananth, Cande Vanessa V, and Wendy L Kinzler. “Placental Abruption: Pathophysiology, Clinical Features, Diagnosis, and Consequences.” Edited by Charles J Lockwood, and Vanessa A Barss,  22 Feb. 2021, https://www.uptodate.com/contents/placental-abruption-pathophysiology-clinical-features-diagnosis-and-consequences.  Brooks, David C. Edited by Stanley W Ashley et al., Gallstone Disease in Pregnancy, 26 July 2021, https://www.uptodate.com/contents/gallstone-diseases-in-pregnancy.   H., De Cherney Alan, et al. “Chapter 25: Surgical Disorders In Pregnancy.” Current Diagnosis and Treatment: Obstetrics and Gynecology, McGraw Hill Medical Publishing Division, 2019.  “Obstetrics and Gynecology.” Case Files: Obstetrics and Gynecology 5th Edition, by Eugene C. Toy et al., McGraw-Hill Medical, 2016, pp. 135–144.  Rebarber, Andrei, et al. “Acute Appendicitis in Pregnancy.” Edited by Martin Weiser et al., Up To Date , 17 Sept. 2021, https://www.uptodate.com/contents/acute-appendicitis-in-pregnancy.  Runowicz, Carolyn D, and Molly Brewer. “Adnexal Mass in Pregnancy.” Edited by Barbara Goff and Alana Chakrabarti, UpToDate, 10 Feb. 2022, https://www.uptodate.com/contents/adnexal-mass-in-pregnancy.  Tulandi, Togas. “Ectopic Pregnancy: Clinical Manifestations and Diagnosis.” Edited by Deborah Levine et al., UpToDate, 18 Jan. 2022, https://www.uptodate.com/contents/ectopic-pregnancy-clinical-manifestations-and-diagnosis.

More than 200 000 individuals in the US develop acute cholecystitis annually. The majority of these cases are caused by gallstones blocking the cystic duct. However, about 5% to 10% of people with acute cholecystitis have acalculous cholecystitis. JAMA Associate Editor Kristin Walter, MD, MS, discusses the recent JAMA article “Acute Cholecystitis: A Review” with one of the authors, JAMA Associate Editor Anthony Charles, MD, MPH, who is Chief of the Division of Trauma, Critical Care and Acute Care Surgery, Director of the ECMO program, and Director of Global Surgery at University of North Carolina in Chapel Hill. Related Content: Acute Cholecystitis

In this episode, we review the high-yield topic of Acute Cholecystitis from the Gastrointestinal section. Follow Medbullets on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets

This episode will focus on the gallbladder and educate you on cholecystitis and other gallbladder related teaching. Cholecystitis - inflammation of the gallbladder; cholangitis - inflammation of the common bile duct; cholelithiasis - formation of stones in the gallbladder; choledocholithasis - stones formed in the common bile duct and cholecystostomy - drain into the gallbladder. See the similarity between the words.

Today we discuss one of the surgical staple pathologies - gallstones, biliary colic and cholecystitis. A huge topic and very common presentation both in elective and emergency settings. If you want to know how to diagnose and manage cholecystitis, or what colour gallstones are formed by the liver flukes, listen on!

Fred e Pedro discutem um caso do João de Dor Abdominal! Uma das principais queixas do PS! Comenta com a gente o que achou e o que ficou de fora lá nas nossas redes sociais @tadeclinicagem! Referências CARTWRIGHT, Sarah L.; KNUDSON, Mark P. Evaluation of acute abdominal pain in adults. American family physician, v. 77, n. 7, p. 971-9778, 2008. LYON, Corey; CLARK, Dwayne C. Diagnosis of acute abdominal pain in older patients. American family physician, v. 74, n. 9, p. 1537-1544, 2006. CLAIR, Daniel G.; BEACH, Jocelyn M. Mesenteric ischemia. New England Journal of Medicine, v. 374, n. 10, p. 959-968, 2016. http://getthediagnosis.org/diagnosis/Appendicitis.htm http://getthediagnosis.org/diagnosis/Cholecystitis.htm ROSS, James T.; MATTHAY, Michael A.; HARRIS, Hobart W. Secondary peritonitis: principles of diagnosis and intervention. Bmj, v. 361, 2018. SRINIVASAN, Radhika; GREENBAUM, David S. Chronic abdominal wall pain: a frequently overlooked problem: practical approach to diagnosis and management. The American journal of gastroenterology, v. 97, n. 4, p. 824-830, 2002. MANTEROLA, Carlos et al. Analgesia in patients with acute abdominal pain. Cochrane Database of Systematic Reviews, n. 3, 2007.

Another "bread and butter" area of general surgery is the gallbladder. Listen along as Dr. Oli tells you all about cholelithiasis and acute cholecystitis: what they are, how to make the diagnosis, and all the treatment options. Happy learning! Don't forget to check out our Facebook page www.facebook.com/drolimedonthego

This episode covers acute cholecystitis.Written notes can be found at https://zerotofinals.com/surgery/general/acutecholecystitis/ or in the general surgery section of the Zero to Finals surgery book.The audio in the episode was expertly edited by Harry Watchman.

This episode covers gallstones.Written notes can be found at https://zerotofinals.com/surgery/general/gallstones/ or in the general surgery section of the Zero to Finals surgery book.The audio in the episode was expertly edited by Harry Watchman.

Your patient is pregnant in her third trimester and she has acute cholecystitis...a relatively common but unnerving scenario.  What do you do?!  Do you operate?  Do you observe?  What about the baby?  Tune in and get the information you need to best care for this patient.  Hosts: Drs. Graham Skelhorne-Gross, Ashlie Nadler and Jordan Nantais.  Papers reviewed:  1) Fong, Z. et. al. Cholecystectomy during the third trimester of pregnancy: proceed or delay? J Am Coll Surg. 2019. 228 (4): 494-502. 2) Hong. J. et. al. Considering delay of cholecystectomy in the third trimester of pregnancy. Surg Endosc. 2020. Online ahead of print. FELLOWSHIP APPLICATION: https://docs.google.com/forms/d/e/1FAIpQLSfxhjxgCE9Ek263XuGkpqqbaNiK9sVnu3M7_LFYUZxhr38SZw/viewform

Join us as we discuss surgical management options for the difficult gallbladder. Is it better to open or proceed with a laparoscopic subtotal cholecystectomy? If the latter, fenestrated or reconstituted? What's the difference?! This week on Rounds, we have several guest professors join us to discuss their perspectives and experience on managing patients with a difficult gallbladder. Joining us from Texas (and favoring subtotal cholecystectomy) are Drs. Sharmila Dissanaike and Michael Truitt.  Drs. Angela Neville and Jessica Keeley from California discuss the merits of converting to an open cholecystectomy for patients with a difficult gallbladder. Also, joining us is Dr. Christian de Virgilio, who co-moderates this lively and educational podcast episode alongside me.

Dr. Martin answers questions sent in by our listeners. Today's topics include: Cholecystitis of the gallbladder Folic acid and B vitamins “Sounds” from our bodies Low red blood cell counts Geographical tongue Stones in the pituitary gland The Ketotic Diet for epilepsy Probiotics safe for a dog? ...and more! Tune in to hear Dr. Martin's responses!  

Cholecystitis, cholelithaiasis, cholecystectomy. We help you review all things gallbladder related. Remember to get the free show notes for each rotation, with bonus tables and study aids, at www.hippoeducation.com/rcc.

Inflammatory Bowel Disorders, Pancreatitis, Cholecystitis, Cholelithiasis, Hapatitis, Liver Cirrhosis and many others

Welcome to episode 3 of The 2 View, the podcast for EM and urgent care nurse practitioners and physician assistants! Show Notes for Episode 3 of The 2 View Pancreatitis Mederos MA, Reber HA, Girgis MD. Acute Pancreatitis: A Review. JAMA. Published January 26, 2021. Accessed February 3, 2021. https://jamanetwork.com/journals/jama/article-abstract/2775452 Besinger, B, Stehman, C. Pancreatitis and Cholecystitis. McGraw-Hill Medical. Accessed February 3, 2021. https://accessmedicine.mhmedical.com/content.aspx?bookid=2353§ionid=189593288 Singh VK, Wu BU, Bollen TL, et al. Early Systemic Inflammatory Response Syndrome is Associated with Severe Acute Pancreatitis. Clin Gastroenterol Hepatol. Published 2009. Accessed February 3, 2021. https://www.cghjournal.org/article/S1542-3565(09)00774-5/pdf#:~:text=Second%2C%20patients%20with%203%20or,care%2C%20and%2013%25%20died. Mofidi R, Duff MD, Wigmore SJ, Madhavan KK, Garden OJ, Parks RW. Association between early systemic inflammatory response, severity of multiorgan dysfunction and death in acute pancreatitis. Br J Surg. Published June 2006. Accessed February 3, 2021. https://pubmed.ncbi.nlm.nih.gov/16671062/ Murali, N. Pancreatic Disease. EM:RAP CorePendium. Emrap.org. Updated January 13, 2021. Accessed February 3, 2021. https://www.emrap.org/corependium/chapter/recNUBEcCXS86j9qX/Pancreatic-Disease Cast Cutter Roberts M, Roberts JR. The Proceduralist. https://www.theproceduralist.org/. Accessed February 3, 2021. Frosch, D, Knott, P. Cast Cutter. ScienceDirect. Published 2007. Accessed February 3, 2021. https://www.sciencedirect.com/topics/nursing-and-health-professions/cast-cutter Questions Local Reactions, Systemic Reactions, Adverse Events, and Serious Adverse Events: Pfizer-BioNTech COVID-19 Vaccine. Cdc.gov. Published January 14, 2021. Accessed February 3, 2021. https://www.cdc.gov/vaccines/covid-19/info-by-product/pfizer/reactogenicity.html Local Reactions, Systemic Reactions, Adverse Events, and Serious Adverse Events: Moderna COVID-19 Vaccine. Cdc.gov. Published December 22, 2020. Accessed February 3, 2021. https://www.cdc.gov/vaccines/covid-19/info-by-product/moderna/reactogenicity.html Information on COVID-19 treatment, prevention and research. Nih.gov. Accessed February 3, 2021. https://www.covid19treatmentguidelines.nih.gov/ Targett C, Harris T. Towards evidence-based emergency medicine: Best BETs from the Manchester Royal Infirmary. BET 3: Can metronomes improve CPR quality? Emerg Med J. Published 2014. Accessed February 3, 2021. https://emj.bmj.com/content/31/3/251 Headaches/Migraine Volpi-Abadie J, Kaye AM, Kaye AD. Serotonin Syndrome. Ochsner J. Published Winter 2013. Accessed February 3, 2021. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3865832/ Roberts, J. InFocus: The Best Three Treatments for Migraine. Emergency Medicine News. Published January 2018. Accessed February 3, 2021. https://journals.lww.com/em-news/Fulltext/2018/01000/InFocus_TheBestThreeTreatmentsforMigraine.8.aspx Roberts, J. InFocus: The Miserable, Misunderstood Migraine. Emergency Medicine News. Published December 2017. Accessed February 3, 2021. https://journals.lww.com/em-news/Fulltext/2017/12000/InFocus_TheMiserable,MisunderstoodMigraine.8.aspx Your resource for headache info. Americanheadachesociety.org. Published May 17, 2016. Accessed February 3, 2021. https://americanheadachesociety.org/

Gallstones are the hardened precipitates—“stones”—of the substrates found in bile. The liver makes bile to help digest fats, and the bile is stored in the gallbladder. When there is an excess of a particular substance in the bile (eg, cholesterol or unconjugated bilirubin), gallstones form in the gallbladder. Gallstones can be as small as a grain of sand, as large as a golf ball, or any size in between. Gallstones are very common and usually do not cause any symptoms. But not all gallstones stay in the gallbladder. After listening to this AudioBrick, you should be able to: Define, compare, and contrast cholelithiasis, cholangitis, choledocholithiasis, and cholecystitis, listing the most common causes of each. Describe the structure and pathogenesis of cholesterol and pigment gallstones. List the major risk factors for development of gallstones, describe the typical clinical course, and list the potential complications. Distinguish acute and chronic cholecystitis, and describe the clinical presentation, signs, and lab abnormalities. Describe the treatment of gallstones and acute cholecystitis. You can also check out the original brick on Cholelithiasis and Cholecystitis from our Gastrointestinal collection, which is available for free. Learn more about Rx Bricks by signing up for a free USMLE-Rx account: www.usmle-rx.com You will get 5 days of full access to our Rx360+ program, including nearly 800 Rx Bricks.  After the 5-day period, you will still be able to access over 150 free bricks, including the entire collections for General Microbiology and Cellular and Molecular Biology. *** If you enjoyed this episode, we'd love for you to leave a review on Apple Podcasts.  It helps with our visibility, and the more med students (or future med students) listen to the podcast, the more we can provide to the future physicians of the world. Follow USMLE-Rx at: Facebook: www.facebook.com/usmlerx Blog: www.firstaidteam.com Twitter: https://twitter.com/firstaidteam Instagram: https://www.instagram.com/firstaidteam/ YouTube: www.youtube.com/USMLERX Learn how you can access over 150 of our bricks for FREE: https://usmlerx.wpengine.com/free-bricks/

This episode covers cholecystitis!

Cholecystitis, Cholangitis, Choledocholithiasis, Cholelithiasis review for your PANCE, PANRE, and EOR’s. --- Support this podcast: https://anchor.fm/scott--shapiro/support

In this episode, we are joined by Vivian Leung,  a 3rd-year medical student from McGill University.  She will be discussing a case titled: “Chloe has a chole”, and will be reviewing the management of acute cholecystitis.  Vivian will touch upon the guidelines for antibiotic therapy, indications for urgent cholecystectomy, and the concept of risk stratification, which will serve as key information in determining whether your patient will benefit most from a surgical, versus non-surgical, management of acute cholecystitis. After listening to this podcast, students will be able to: Recall and list classification factors of uncomplicated versus complicated acute cholecystitis Recognize the importance and considerations of initiating antibiotic therapy Describe the concept of risk stratifying patients into low risk, versus high-risk surgical patients, and their subsequent clinical management

Join Yvonne Brandenburg, RVT, VTS SAIM and Jordan Porter RVT, LVT, VTS SAIM as we talk about: The gallbladder! You know, that green thing sitting in between two of the lobes of the liver? This week we discuss when the gallbladder sludge becomes too much for the gallbladder to handle, as well as when the wall of the gallbladder becomes thick and grumpy (preach sister). Join us while we knock out some GB knowledge!     Question of the Week Knowing what we have learned from this episode, if your personal pet developed a gallbladder mucocele, how would you handle it? Would you start medications since you would be able to closely monitor and recognize the symptoms, or would you just move straight to surgery?  Leave a comment at https://imfpp.org/episode45   Resources We Mentioned in the Show  American College of Veterinary Surgeons: Gallbladder Mucocele https://www.acvs.org/small-animal/gallbladder-mucocele Eclin Path: Cholestasis https://eclinpath.com/chemistry/liver/cholestasis/ Merck Veterinary Manual: Hepatic Diseases https://www.merckvetmanual.com/digestive-system/hepatic-disease-in-small-animals/cholecystitis-in-small-animals https://www.merckvetmanual.com/digestive-system/hepatic-disease-in-small-animals/canine-gallbladder-mucocele?query=gallbladder%20mucocele  Linda Merrill, L. V. (2012). Small Animal Internal Medicine for Veterinary Technicians and Nurses. Ames: Wiley-Blackwell.    Thanks so much for tuning in. Join us again next week for another episode!  Get Access to the Membership Site Waitlist Sign up at www.imfvt.com  Get Access to the Technician Treasure Trove  Sign up at https://imfpp.org/treasuretrove    Thanks for listening!  – Yvonne and Jordan 

Welcome to the emDOCs.net podcast with Brit Long, MD (@long_brit) and Manpreet Singh, MD (@MprizzleER)! Join us as we review our high-yield posts from our website emDOCs.net. Today on the emDocs cast with Brit Long, MD (@long_brit) and Manpreet Singh, MD (@MprizzleER) we cover  three posts: acute acalculous cholecystitis, mastitis and breast abscess, and LV aneurysm ECG findings.To continue to make this a worthwhile podcast for you to listen to, we appreciate any feedback and comments you may have for us. Please let us know!Subscribe to the podcast on one of the many platforms below:Apple iTunesSpotifyGoogle Play

So we have covered appendicitis, SBO, cholangitis, and postop fevers so far with the podcast.  In trying to hit the big ticket conditions for surgery, it is time for a review of acute cholecystitis and cholelithiasis. 

Our first audio podcast covering the topic of acute cholecystitis, a common surgical consult. We start with how to obtain a good surgical history, then reviewing the pertinent exam, lab and imagining findings. Finally ending with how to proceed in the operating room. We hope to make these podcasts better with each one we put out and would love your honest feedback on how we can do this. Please email: gaurangjoshi@gmail.com Thank you!

Welcome to the next episode of The Reveal where we take you inside the mind of a test-taker to deconstruct and connect the dots of a board-style question so you can become a better student, transform how you learn, and excel not only on high-stakes exams, but also in your general medical knowledge. Let's get read more... The post How Well Do You Know the Exam Findings of Cholecystitis? appeared first on RoshReview.com.

A 46-y/o female has RUQ pain and distension following surgical repair of a splenic laceration. Which process most likely resulted in her current condition? Links: Full Episode Blog Post Meded Media BoardVitals (promo code BOARDROUNDS and save 15% off)

In this episode, we cover that sneaky presentation of acalculus cholecystitis. When that ALP/GGT start climbing, or your chronically critically ill patient gets septic again, you need to know about this!

This episode discusses Cholecystitis which is inflammation of the gallbladder. I review detailed information that nursing students will need to know for school, the NCLEX, and the real world. It includes:  Disease Process Causes Diagnosis Signs and Symptoms Complications Treatment Patient Education You can find the study guide that goes along with this episode at nursingsuvival.com.  

Cholecystitis

In this episode, we will cover all those pesky things that can make your patient sick from the RUQ: namely the biliary tract! Ascending cholangitis, Cholecystitis and all the important pearly for imaging, antibiotics and source control options.

In this episode I cover intra-abdominal infections.If you want to follow along with written notes on intra-abdominal infections go to https://zerotofinals.com/intraabdominalinfections/ or find the infectious diseases section in the Zero to Finals medicine book.This episode covers the pathophysiology, presentation, causes and management of intra-abdominal infections. The audio in the episode was expertly edited by Harry Watchman.

In this episode, Mr Afshin Alijani (consultant surgeon at Ninewells Hospital, Dundee, Scotland) speaks with Mr Pradeep Patil (consultant upper GI surgeon) about the preoperative management of acute cholecystitis. For 3 key references click here.

To better understand current events, it’s useful to know the history behind them.  The same can be said of the developments through time that led humans to learn about bacteria. Bacteria have played their part in the evolution of the planet for eons. Fossils of microorganisms have been discovered in stone dating more than 400 million years old. Some argue that primitive bacteria existed almost as far back as the very beginning of Earth’s history. For the majority of their time on Earth, they have been the predominant life form and left their mark, good and bad, on every species that came after them. Joe and Amy Alton, aka Dr. Bones and Nurse Amy, discuss the history of bacterial infections, human research, and antibiotics in this episode of the Survival  Medicine Hour. Plus, Dr. Alton tell you all you need to know about both kidney and gall bladder stones, two common medical issues that any medic should be prepared to confront in major disasters. The Altons are proud to announce their new book "Alton's Antibiotics and Infectious Disease: The Layman's Guide to Available Antibiotics in Austere Settings" is done and has been uploaded to Amazon! You can get it there or obtain a personally signed copy by going to store.doomandbloom.net! Don't forget to check out Nurse Amy's entire line of medical kits and individual items! Follow the Altons on Facebook's "Doom and Bloom(tm)" page, Twitter @preppershow, and YouTube's DrBones NurseAmy Channel!      

To better understand current events, it’s useful to know the history behind them.  The same can be said of the developments through time that led humans to learn about bacteria. Bacteria have played their part in the evolution of the planet for eons. Fossils of microorganisms have been discovered in stone dating more than 400 million years old. Some argue that primitive bacteria existed almost as far back as the very beginning of Earth’s history. For the majority of their time on Earth, they have been the predominant life form and left their mark, good and bad, on every species that came after them. Joe and Amy Alton, aka Dr. Bones and Nurse Amy, discuss the history of bacterial infections, human research, and antibiotics in this episode of the Survival  Medicine Hour. Plus, Dr. Alton tell you all you need to know about both kidney and gall bladder stones, two common medical issues that any medic should be prepared to confront in major disasters. The Altons are proud to announce their new book "Alton's Antibiotics and Infectious Disease: The Layman's Guide to Available Antibiotics in Austere Settings" is done and has been uploaded to Amazon! You can get it there or obtain a personally signed copy by going to store.doomandbloom.net! Don't forget to check out Nurse Amy's entire line of medical kits and individual items! Follow the Altons on Facebook's "Doom and Bloom(tm)" page, Twitter @preppershow, and YouTube's DrBones NurseAmy Channel!      

We discuss what the gallbladder is, how it functions, what can go wrong, and how to heal a gallbladder. We also discuss what to do to prevent gallbladder surgery, and if you have already had your gallbladder removed, the things necessary to ensure adequate digestion.

Podcast summary of articles from the June 2018 edition of Journal of Emergency Medicine from the American Academy of Emergency Medicine.  Topics include Head and Neck CT in trauma, lactate as a marker of short term mortality, an emerging pathogen in cat and dog bites, acute cholecystitis management, 4 factor PCC in brain bleeds, and board review on diplopia.  Guest speaker is Dr. Colin Crowe.

Author: Don Stader, M.D. Educational Pearls Common pathologies include cholecystitis, choledocholithiasis, and in concerningly ascending cholangitis. Cholecystitis is obstruction at the cystic duct leading to inflammation of gallbladder wall, while choledocholithiasis is a distal obstruction of the biliary tree, and ascending cholangitis is an ascending infection of the biliary tree secondary to obstruction. Risk factors for Cholecystitis are the 5 F’s (Fat, Forty, Female, Fertile, Family Hx). Classic symptoms seen in ascending cholangitis are Charcot’s Triad of fever, RUQ pain, and jaundice, or Reynold’s pentad which is more severe and has the addition ofaltered mental status and hypotension. Porcelain gallbladder is a radiographic finding showing calcification of the gallbladder that is associated with cancer of the gallbladder. References: Kimura Y, Takada T, Kawarada Y, et al. (2007). "Definitions, pathophysiology, and epidemiology of acute cholangitis and cholecystitis: Tokyo Guidelines". J Hepatobiliary Pancreat Surg. Strasberg, SM (26 June 2008). "Clinical practice. Acute calculous cholecystitis". The New England Journal of Medicine. 358 (26): 2804–11.

In this podcast General Surgeon, Dr. Michael McCall, will review some common causes of RUQ pain as it relates to the biliary system. After listening to this podcast you should be able to: Describe the presentation of Biliary Colic and Cholecystitis Review differential diagnosis and diagnostics Understand treatment of both Biliary Colic and Cholecystitis

Part I of II on gallbladder pathology starting with cholecystitis. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_117_0_Final_Cut.m4a Download Leave a Comment Tags: Gallbladder, Gastroenterology, General Surgery, GI Show Notes Take Home Points Acute cholecystitis is an inflammation of the gallbladder and is a clinical diagnosis. Imaging can be helpful but US and CT can both have false negatives. Lab tests are insensitive and non-specific and, as such, they can neither rule in or rule out the diagnosis. Treatment focuses on fluid resuscitation when indicated, supportive care, antibiotics and surgical consultation for cholecystectomy Although uncommon, be aware that patients can develop gangrene, necrosis and perforation as well as frank sepsis and require aggressive resuscitation Read More Core EM: Acute Cholecystitis Oyama LC: Disorders of the liver and biliary tract, in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen's Emergency Medicine: Concepts and Clinical Practice, ed 8. St. Louis, Mosby, Inc., 2010, (Ch) 90: p 1186-1205. Leschka S et al. Chapter 5.1: Acute abdominal pain: diagnostic strategies In: Schwartz DT: Emergen...

Part I of II on gallbladder pathology starting with cholecystitis. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_117_0_Final_Cut.m4a Download Leave a Comment Tags: Gallbladder, Gastroenterology, General Surgery, GI Show Notes Take Home Points Acute cholecystitis is an inflammation of the gallbladder and is a clinical diagnosis. Imaging can be helpful but US and CT can both have false negatives. Lab tests are insensitive and non-specific and, as such, they can neither rule in or rule out the diagnosis. Treatment focuses on fluid resuscitation when indicated, supportive care, antibiotics and surgical consultation for cholecystectomy Although uncommon, be aware that patients can develop gangrene, necrosis and perforation as well as frank sepsis and require aggressive resuscitation Read More Core EM: Acute Cholecystitis Oyama LC: Disorders of the liver and biliary tract, in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 8. St. Louis, Mosby, Inc., 2010, (Ch) 90: p 1186-1205. Leschka S et al. Chapter 5.1: Acute abdominal pain: diagnostic strategies In: Schwartz DT: Emergency Radiology: Case Studies. New York,

This episode covers Chapter 80 of Rosen's Emergency Medicine 9th edition. (Yes the new edition). Building on previous episodes (see fever, Jaundice and abdo pain), today we take a look at all things right upper quadrant badness.   1) List 8 ddx for hepatitis   2) Complete the following table for Hepatitis A, B & C: Transmission, Risk Factors, Carrier State, Acute Infection, Previous Infection, Chronic Infection, Prev Vaccine, Transmission Risk, Vaccine.   (show notes: What is hepatitis E? Where is it commonly found (geographically)? What is the significance of hepatitis D?)   3) Describe the post-exposure prophylaxis for exposure to HepA, HepB, HepC   4) Compare the expected lab work in acute viral hepatitis vs EtOH hepatitis   5) What liver diseases are associated with alcohol abuse? What non-hepatic conditions are associated with alcohol abuse? Describe the management of EtOH hepatitis   6) List 6 stigmata of chronic liver dz and list 3 complications   7) How is are chronic cirrhosis and ascites managed in the ER?   8) Describe a grading scale for hepatic encephalopathy and list 5 management considerations   9) Describe the ER diagnosis and management of SBP.   10) List 3 types of drug-induced liver disease.   11) What are two types of hepatic abscesses? How are they diagnosed and treated?   12) What is budd-chiari syndrome? How is it managed?   13) What is primary sclerosing cholangitis (PSC)? What is primary biliary cirrhosis? What is PSC associated with?   14) List 6 RFs for Cholelithiasis   15) Describe the clinical presentation of cholecystitis. List Lab, Xray (3) and US (4) findings   16) List 4 patients that get acalculous cholecystitis   17) List 4 considerations in the management of acute cholecystitis. When is surgery performed early?   18) What is the classic presentation of ascending cholangitis? What two clinical eponyms are described? How is ascending cholangitis managed? Wisecracks:   1.. Which conditions are associated with transaminases in the 10000s? How do you approach a patient with a needlestick injury? What is the risk of transmission following a needlestick? What are underlying causes of hepatic encephalopathy in patients with known liver disease? What are the typical investigations performed on ascites fluid? What is the SAAG and how is it interpreted?  What is the significance of a calcified gallbladder?

This episode covers Chapter 80 of Rosen's Emergency Medicine 9th edition. (Yes the new edition). Building on previous episodes (see fever, Jaundice and abdo pain), today we take a look at all things right upper quadrant badness.   1) List 8 ddx for hepatitis   2) Complete the following table for Hepatitis A, B & C: Transmission, Risk Factors, Carrier State, Acute Infection, Previous Infection, Chronic Infection, Prev Vaccine, Transmission Risk, Vaccine.   (show notes: What is hepatitis E? Where is it commonly found (geographically)? What is the significance of hepatitis D?)   3) Describe the post-exposure prophylaxis for exposure to HepA, HepB, HepC   4) Compare the expected lab work in acute viral hepatitis vs EtOH hepatitis   5) What liver diseases are associated with alcohol abuse? What non-hepatic conditions are associated with alcohol abuse? Describe the management of EtOH hepatitis   6) List 6 stigmata of chronic liver dz and list 3 complications   7) How is are chronic cirrhosis and ascites managed in the ER?   8) Describe a grading scale for hepatic encephalopathy and list 5 management considerations   9) Describe the ER diagnosis and management of SBP.   10) List 3 types of drug-induced liver disease.   11) What are two types of hepatic abscesses? How are they diagnosed and treated?   12) What is budd-chiari syndrome? How is it managed?   13) What is primary sclerosing cholangitis (PSC)? What is primary biliary cirrhosis? What is PSC associated with?   14) List 6 RFs for Cholelithiasis   15) Describe the clinical presentation of cholecystitis. List Lab, Xray (3) and US (4) findings   16) List 4 patients that get acalculous cholecystitis   17) List 4 considerations in the management of acute cholecystitis. When is surgery performed early?   18) What is the classic presentation of ascending cholangitis? What two clinical eponyms are described? How is ascending cholangitis managed? Wisecracks:   1.. Which conditions are associated with transaminases in the 10000s? How do you approach a patient with a needlestick injury? What is the risk of transmission following a needlestick? What are underlying causes of hepatic encephalopathy in patients with known liver disease? What are the typical investigations performed on ascites fluid? What is the SAAG and how is it interpreted?  What is the significance of a calcified gallbladder?

Acute cholecystitis is a diagnosis that we make frequently in the Emergency Department. But like all diagnostic work ups there is a lot to know about which parts of the history, examination and bedside tests we can do in the ED that really help either rule in or rule out the disease. In this podcast we run through some of the key bits of information published in the Commissioning Guide Gallstone disease 2016, jointly published by the Association of Upper Gastrointestinal Surgeons of Great Britain and Ireland & the Royal College of Surgeons. We then concentrate on a recent systematic review of the diagnostic work up for Acute Cholecystitis. Yet again the evidence base brings up some issues to challenge our traditional teaching on the topic but should help polish our management of patients with a differential of Acute Cholecystitis. Enjoy! References & Further Reading Commissioning Guide Gallstone disease 2016 Up to date; Acute Cholecystitis NICE guidance; Acute Cholecystitis History, Physical Examination, Laboratory Testing, and Emergency Department Ultrasonography for the Diagnosis of Acute Cholecystitis. Jain A. Acad Emerg Med

An interactive discussion about acute cholecystitis disease between Jeffrey Ponsky, MD and John Rodriguez, MD. Dr. Rodriguez is a general surgery staff surgeon in department of surgery at Cleveland Clinic in Cleveland, OH. Dr. Ponsky, is a professor of surgery at the Cleveland Clinic Lerner College of Medicine and Department of Surgery at Cleveland Clinic. Table of Contents 00:57:01|Acute Cholecystitis: Simple Versus Mitigating Cases 07:12:11|Management Of Cholecystostomy Tube 08:59:20|After The Tube: Operative Planning For Sick Patients 11:17:32|Operative Technique For Simple Acute Cholecystitis 15:18:54|Intra-operative Challenges 20:33:55|Cholangiograms 23:27:10|Transcystic Antegrade Sphincteroplasty 25:37:32|Difficult Dissections

This month we cover gastritis,pancreatitis,cholecystitis and liver disease. This podcast does not represent the views of stroger hospital, cook county human health services or the Stroger emergency medicine residency

Cholecystitis pathophysiology review for nurses and nursing students

Inflammation is at the very heart of many disease processes, from infection and trauma to ageing and cancer. Split across 4 episodes, David Semeraro talks to Jon Lund about acute inflammation, covering definitions, mechanisms and progress with many examples from clinical cases, histopathological and macroscopic inflamed organ specimens. Listening to this series of podcasts will tell you all you need to know about the basics of acute inflammation, a thorough knowledge of which is essential for pre-clinical and clinical medical students and doctors in training in all specialities and at all levels. David Semeraro is a Consultant Histopathologist at the Royal Derby Hospital, UK and Jon Lund is Associate Professor of Surgery at the University of Nottingham, UK.

PhysicianAssistantBoards.com - Today were going to tackle three topics: cholecystitis, cholangitis, and cholelithiasis.  Well go over cause, symptoms, signs, diagnostic testing, and treatment. 

Editor's Audio Summary by Howard Bauchner, MD, Editor in Chief of JAMA, the Journal of the American Medical Association, for the July 09, 2014 issue

Joan Stephenson, PhD, discusses Acute Cholecystitis with Dr Robert L. Trowbridge.

JAMAevidence Podcast

Sun, 1 Jan 1989 12:00:00 +0100 https://epub.ub.uni-muenchen.de/10272/1/10272.pdf Stäbler, A.; Arbogast, Helmut; Pratschke, Ekkehard; Berger, H. ddc:610, Medizin