Key points in the diagnosis of acute cholecystitis
In real life, the probability of women suffering from cholecystitis is much higher than that of men, because this disease is more common in middle-aged and elderly women, and the clinical manifestations of acute cholecystitis are pain, vomiting, etc.
Severe cases require surgical treatment, so what are the criteria for the diagnosis of cholecystitis? Let's see what the experts have to say.
(1) In the medical history, there is often a history of inducing it after eating greasy food, and there is a history of frequent recurrence in the past.
(2) Abdominal pain: located in the right upper abdomen, sudden onset, severe cramping, or paroxysmal aggravation of continuous pain, which can radiate to the back of the right shoulder. It is accompanied by fever, nausea, vomiting, etc.
(3) The gallbladder area of the right upper quadrant has varying degrees of tenderness, percussion pain and muscle tension. Sometimes an enlarged gallbladder is palpable. May be accompanied by mild jaundice.
(4) The white blood cell count is often elevated, and the neutrophil count is also elevated. If the total number exceeds 20,000 per cubic millimeter, it should be considered that the infection in the common bile duct is severe or there is empyema, and even the gallbladder may be necrotic or perforated.
(5) If chills, high fever, and jaundice occur at the same time, cholangitis should be considered. Acute obstructive suppurative cholangitis must be recognized early and treated with surgery as early as possible, as it may cause critical toxic shock. When the common bile duct is completely obstructed, the stool may be white clay-colored.
The above is the expert's elaboration of the disease cholecystitis, we should pay attention to the clay-colored stool in clinical practice, which indicates that the condition is very bad, in order to avoid the disease from progressing to this step, once the pain in the right lower abdomen occurs, you should seek medical attention in time, once the repeated attacks will form chronic cholecystitis, and the treatment will increase the difficulty.