Acute Choleycystitis Overview and Practice Case | Gastroenterology

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► THIS VIDEO will discuss the case of a 31-year-old man with no significant medical history who presents to the Emergency Department with right upper quadrant abdominal pain, fever, nausea, and vomiting, ultimately diagnosed with acute cholecystitis based on clinical and imaging findings. 🏥 We'll delve into comparing the clinical presentation of cholelithiasis with that of acute cholecystitis, listing the signs and symptoms present in patients with acute cholecystitis, and describing Murphy's sign in this context. Indeed, the video explores the differences between cholelithiasis and acute cholecystitis, outlines diagnostic approaches such as ultrasound and HIDA scans, and outlines the recommended management, including IV fluids, antibiotics, and cholecystectomy. 💉 We will also explain the process of cholescintigraphy and the purpose of this procedure. This comprehensive overview serves as a valuable resource for healthcare professionals and anyone interested in understanding the correct assessment and appropriate treatment of acute cholecystitis. 👩‍⚕️👨‍⚕️

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► THE PROF 👩‍🏫
Dr. Kelley Chuang, MD is a hospitalist at the VA Greater Los Angeles Healthcare System and Assistant Clinical Professor of Medicine at UCLA. She obtained her MD from the Icahn School of Medicine at Mount Sinai and holds an MA in Teaching from American University. She completed her internship and residency in Internal Medicine at UCLA in 2017. Dr. Chuang served as a VA-based Chief Resident in Internal Medicine at UCLA in 2017 – 2018. She is currently an Associate Program Director for the UCLA Internal Medicine Residency Program, and VA Site Director for the UCLA Medicine-Neurology Preliminary Program. Her interests include digital medical education, clinical informatics, and clinical coaching for resident learners. Dr. Chuang received her board certification in Internal Medicine in 2017. 🩺

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Chapters:
00:00 Introduction
00:03 Comparing Cholelithiasis and Acute Cholecystitis
01:02 Signs and Symptoms of Acute Cholecystitis
01:57 Understanding Murphy's Sign
02:15 Common Ultrasound Features of Cholecystitis
02:53 The Diagnostic Process for Acute Cholecystitis
03:36 Exploring Cholescintigraphy
04:10 Management of Acute Cholecystitis
05:24 Cholecystectomy and Alternative Procedures
06:14 Summarizing Key Takeaways
06:30 References and Further Reading