What is acute calculous cholecystis?

Acute calculous cholecystis is an inflammatory condition of the gallbladder caused by obstruction of the cystic duct, usually by a small gallstones. Structural changes include an inflammed, and distended gallbladder with a hyperemic wall

What does HIDA scan for acute cholecystitis indicate?

This finding confirmins an obstruction of the cystic duct and the diagnosis of acute cholecystitis is highly likely. 04208 gallbladder non-filling HIDA scan dx acute cholecystitis imaging radiology nuclear medicine NMscan

How is acalculous cholecystitis monitored in the ICU?

Patients with acalculous cholecystitis are often very ill and need ICU monitoring. The nurses looking after these patients must have a high suspicion of the disorder because often the signs and symptoms of sepsis are vague. Fluid intake and output have to be closely monitored together with the respiratory status.

What is the mortality and morbidity associated with acalculous cholecystitis?

Over the years the mortality of acalculous cholecystitis has decreased but still remains about 10% despite optimal treatment. These patients often develop fulminant sepsis, ARDS, multiorgan failure and also have a high incidence of adverse cerebrovascular events.

What is the pathophysiology of chronic cholecystitis?

Chronic inflammation can be preceded by acute cholecystitis, but usually it develops gradually. Usually the gallbladder is reduced in size, its walls are thickened, sometimes calcified, the lumen contains turbid bile with clots, called biliary putty.

Which antibiotics are used in the treatment of acute calculous cholecystitis?

The choice of antibiotics for treatment of acute calculous cholecystitis according the WSES proposal in two different scenarious Community acquired Health care associated Infections situations Drug Infections situations Drug No severe Sepse ESBL – Amoxicilin Clavulanate No severe sepse Piperacilin Tazobactan + Tigecicline + – Fluconazol