Cholecystitis ( Infection in gall bladder) [ Nursing lecture in hindi M.S.N 1st ]

Brief Summary

This video provides an overview of cholecystitis, focusing on its definition, causes, pathophysiology, symptoms, diagnostic procedures, and medical and surgical management. It explains the inflammation of the gallbladder, detailing how gallstones, infections, injuries, and metabolic issues can lead to this condition. The video also covers common symptoms like pain, nausea, and indigestion, as well as diagnostic methods such as physical examinations, imaging techniques, and lab tests. Finally, it discusses treatment options, including antibiotics, analgesics, and surgical interventions like cholecystectomy and endoscopic procedures.

  • Definition and inflammation of the gallbladder
  • Causes, pathophysiology, symptoms, diagnostic procedures
  • Medical and surgical management

Introduction to Cholecystitis

The video introduces cholecystitis as an inflammation of the gallbladder, which stores bile produced by the liver. The gallbladder's function is to store bile, which aids in the digestion of fats. When the gallbladder becomes infected or inflamed, it leads to cholecystitis. The presenter uses diagrams to illustrate the difference between a normal gallbladder and an inflamed one, pointing out the presence of stones and swelling in the inflamed gallbladder.

Causes of Cholecystitis

The primary causes of cholecystitis include gallstones, bacterial and viral infections, injuries, abnormal cholesterol metabolism, and infrequent food consumption. Gallstones can block the flow of bile, leading to inflammation. Infections and injuries to the gallbladder can also trigger inflammation. Abnormal cholesterol metabolism can result in cholesterol deposits in the gallbladder, while infrequent food consumption can impair liver function, affecting the gallbladder.

Pathophysiology of Cholecystitis

The pathophysiology of cholecystitis involves etiological factors like gallstones causing obstruction in the bile flow. This obstruction increases pressure within the gallbladder, leading to inflammation. The presenter uses a diagram to explain how a gallstone, typically formed in the neck of the gallbladder, can block the bile flow, increasing pressure and causing infection.

Symptoms of Cholecystitis

Common symptoms of cholecystitis include pain radiating to the back and right shoulder, nausea, vomiting, and indigestion. Patients may also experience a mild fever and abdominal fullness. Changes in stool color, such as light-colored stools due to bile obstruction, gas formation, and jaundice, are also indicative of cholecystitis. The video also describes Murphy's sign, where pain is elicited upon palpation of the gallbladder during deep inspiration.

Diagnosis of Cholecystitis

Diagnosing cholecystitis involves collecting the patient's history and performing a physical examination, including checking for Murphy's sign. Diagnostic procedures include cholecystography (visualization of the gallbladder), X-rays, ultrasonography, CT scans, and MRIs. Additionally, blood tests may reveal increased levels of bilirubin and liver function tests and renal function tests are conducted to identify abnormalities.

Medical Management of Cholecystitis

Medical management of cholecystitis includes administering antibiotics for bacterial infections and antiviral drugs for viral infections. Analgesics are prescribed for pain relief. Hospitalization is necessary for patients with severe pain to provide timely care.

Surgical Management of Cholecystitis

Surgical management options include cholecystectomy (surgical removal of the gallbladder) and endoscopic procedures. Cholecystectomy is performed when there are stones in the gallbladder or severe inflammation. Endoscopic procedures are used to remove stones from the gallbladder, restoring bile flow. The presenter explains that these procedures aim to remove gallstones or the gallbladder to alleviate inflammation and restore normal function.

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Transcript

Full transcript of “Cholecystitis ( Infection in gall bladder) [ Nursing lecture in hindi M.S.N 1st ]”. Click a timestamp to open the video at that moment. Need another video? Use the YouTube transcript generator.

0:00 Hello Hello students our topic today is that coli cystitis so pocket colitis is related to blood in gall bladder what is the function of gall bladder from your side that whatever boil is formed in liver it is stored which gall bladder ok so if this google play fear inside there is infection or inflammation condition then

0:49 what will you call it e-coli cystitis it is the inflammation and swelling of gall bladder okay what is the term used for infection and inflammation condition in gall bladder or koli cystitis ok so like this diagram if you see in it then this is diagram of normal gall bladder ok now this next diagram this is influenced gall bladder means there is information in it you can see the inside part it is a cut section there is text inside gall bladder in which you can see its

1:34 mucosa it is inside the new how to keep it in it means What is happening in the mucosa, okay, and what is this president in it, what are these round stones, you can search for these round stones, where is it in the gall bladder, okay, so what is the information operator in it, what happens in the inside which is completely clean, swelling happens in the solan new search sadhu, so what do you say in that time condition, open your necklace of cystitis, after this we will talk about its search of the country, so the first one is the main course I

2:23 told you about the round stones, okay, so this can be the information, the round stones which will be in the gall bladder, what will you do, you will set the clock there, okay, here if this round stone is for, then what will it do here, it will block the circulation of the body, the floor of the bull, due to which information can happen, okay, next jio4gvoice is bacterial and viral infection, if any kind of infection occurs in the gall bladder, then that too can search for information, okay Next 9 news channel injury and promise means if any kind of injury happens to the gall bladder

3:11 then what will happen in that condition also there will be chances of inflammation ok next FD normal metabolism of cholesterol if the liver does not have normal cholesterol level sorry normal cholesterol is not able to metabolize then what will happen where will this cholesterol get deposited it will get deposited inside the gall bladder with boil here it will start getting deposited in the gallbladder and if it gets deposited then there will be chances of inflammation here ok khan next as you refuse of male co like process I told you if a person consumes very light food

3:57 then what will happen in that, the liver will not be able to maintain its normal function due to which it will also get affected and there will be chances of inflammation there because if one uses oil more than per cent and the liver gets affected due to that ma'am It is not able to perform its normal function, due to this the gall bladder will also be affected, okay, let's see this, after this if we talk about pathophysiology, then what will happen, like any logical factor, like for example, take stones, okay, what will the goldstone do, it will cause obstruction in the floor of the boil, due to which what will happen, the

4:44 pressure in the gall bladder will increase, if it will not be able to follow, then the pressure will increase here and there will be chances of information, like this structure, in our diagram, suppose a stone is formed here, otherwise the gall stones and where are they found in the gall bladder, normally in a lesson, okay, that is, the neck part is formed here, normal goldstone, okay, so if suppose goldstone is formed here, then what will it do, it will block the flow of boil here, it will collide, because of which what will happen, this is the fruit of the vine and the trend is that

5:31 what will happen here in the gall bladder, the pressure will now increase and It will arise in the condition of infection, ok if you understand then physiology, any etiological factor like gold stock, what will it do, it will block the liver due to which the pressure increases here, then inside the bladder and the condition of the liver will be like this, ok next after this we will talk about the symptoms, so the main symptoms of this is pain, ok pain and where will the pain be, the pain will be ready to the back and to the right shoulder, that is, if there is an infection

6:18 in the gold plated in such a condition of college cystitis, then where will the pain be ready in the back side, that is, in the back side of the stomach or in the right shoulder, ok in this the pain will be radiated, in the condition of MI, which is the problem of heart attack, there is pain in the left shoulder, ok and if there is an infection in the gall bladder, then where is it, that is, in the right shoulder, ok next which symptoms will be seen, knowledge and that meeting the patient will have a complaint of that meeting, ok next do it to see the system You will get the symptom of indigestion, that is, the patient will not be able to digest properly. Why will it not be possible? For like

7:05 2 minutes, you will know what the bol does, it multiplies the stomach, that is, the stomach that comes into the intestine through the stomach, it fights it with MLC or makes it water soluble, so that it can be easily digested, but if the boil is not happening normally here, then the digestion of the stomach will also not happen, due to this, what will happen to the stomach normally, you will get to see indigestion, okay. Next symptoms will be that red simmer, that is, the patient will have mild fever, okay. If there is a condition of infection, then fever will definitely be there.

7:51 In the information, the next system that will be seen will be abdominal fullness. The patient will feel heaviness in the abdominal cavity, okay, it will feel because due to inflammation, it will be full, there will be tenderness, okay. Next symptoms are Why would that stool be colored like this because in bi-election, okay, by love boil, this thing makes two products in two pieces, so this argument is also foolish and a european bill, okay, this layer dissolves, it provides brown color to the stool, okay, this is what it

8:39 does, brown color, but if the boil option is there, if it is not able to be followed by boil, then what will be the color of the stool, the color of the soil will remain the same, it will not become brown because the boil is not able to mix in it, okay, you will see the symptoms of stool, that is, gas formation, the patient will have gas problem, okay and net symptoms will be seen, why will jaundice happen, the reason for jaundice will be its obstruction in boil, that is, the fruit of the bel and normal is not maintained, due to which what will happen in the blood, the level of bilirubin will increase

9:24 and if the level of bilirubin increases, then the condition of jaundice will be like this, okay so 3010 side There are symptoms next, there is another symptom in this, that is MRP side, which is also a diagnosis, it is a thing of college cystitis, what happens in this, the doctor or the doctor tells the patient that you should do a deep inspiration, inspiration means to take breath in, that is, what would you call it for this problem, take deep breaths, okay, so as soon as the patient does a deep inspiration, the doctor will palpate or press the gall bladder, this is the location of the gall

10:12 bladder where there is a call and press, the doctor will palpate there, as soon as he does a deep inspiration, do the inspiration, if the patient is feeling pain after doing the inspiration, okay, then what would you call that side, understand related to Murphy sign, what would the doctor tell the patient that you should take inspiration by taking deep breaths, okay and as soon as the patient does that inspiration, the doctor will palpate the gall bladder, okay, so if the patient is feeling pain after palpating, what would you call the sign, Murphy sign, okay next after this employment Diagnosis is first of all we will collect history,

10:57 do physical examination of the patient, in physical examination of the patient we will check the Murphy size, we can do the procedure, which Murphy size is, okay, in physical examination, after this the diagnosis will come, open hysterography, what does it mean, graphy, if the word is being used anywhere, then it means visualization, so what will we do visualization of here, visualization of gall bladder, is of gall bladder, next after this the diagnosis will be several, X-ray, ultrasonography, CT scan or MI, any of these procedures can be done and

11:44 can detect the problem, which problem is of gall bladder, okay, next what will we do after this, the serum level of bile plug level is increased, okay, increase, it means there is a problem in the liver, due to this the level of bibilirubin will be found increased in the serum, okay, next after this do the diagnosis, that is, liver function test and renal function test Winner means kidney ok so why will we do both these function tests to identify the normal team from the spot so

12:32 3000 diagnosis of cholecystitis next after this come to the management so first of all if we talk about medical management then in this either we will give antibiotics to treat bacterial infection ok we will give antiviral drugs for viral infection ok after this if there is pain then what will we give for that in RJ 6 ok we will give analgesic for pain ok and lastly in the management that it is necessary to hospitalize the patient because if the patient is having severe pain then what will happen it is necessary to hospitalize the patient so that timely care can be provided

13:20 ok next after this let's talk about surgical management so in this first surgical management police text me what will we do in this which if I had told you earlier also that if there is a Tamil word used behind a word what does it mean sir ji kali removal ok we are surgically removing that part so if here the word behind the solution dholi This used and item what does it mean it is surgical surgical removal of gall bladder means if there are stones in gall bladder or in information senior condition then what will we do gall bladder will be removed ok what is that procedure called coli system e ok net after this the procedure and

14:09 android topic procedure ok what does endoscopy mean visualization of internal structure siya internal body which team ok what happened between the daughter of the inside body what is it called endoscopy ok so what will we do in this and why will we do procedure for this 29 done to remove stains from gall bladder ok tourist and volume if there are gall stones for in gall bladder then through endoscopy procedure we will remove them so that what will happen boil floor can be restored back the plot of bile can be maintained ok so

14:57 this is two and 10 surgical management of wall street means if there is senior information then either we will remove the ghol son Or we will remove the stones that are kept for more. Ok so this open cystitis topic is completed. If you have any problem then you can ask me by commenting. Thank you.

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