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    Epidemiology - Upper Epigastric Pain

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    Jerahmeel Sombilon Genilla
    Acute calculous cholecystitis results from a gallstone obstructing the cystic duct, causing inflammation of the gallbladder. Symptoms include right upper quadrant pain, anorexia, nausea, vomiting, and fever. Gallstones are quite common in Western countries and their prevalence increases with age. The NHANES III survey found that gallstones affected 7.9% of men and 16.6% of women in the US, with higher rates in Mexican Americans and lower rates in African Americans. Gallstones form due to abnormal bile composition and are either cholesterol stones made of cholesterol and calcium salts or pigment stones composed primarily of calcium bilirubinate.

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    Epidemiology - Upper Epigastric Pain

    Uploaded by

    Jerahmeel Sombilon Genilla
    17 views2 pages
    Acute calculous cholecystitis results from a gallstone obstructing the cystic duct, causing inflammation of the gallbladder. Symptoms include right upper quadrant pain, anorexia, nausea, vomiting, and fever. Gallstones are quite common in Western countries and their prevalence increases with age. The NHANES III survey found that gallstones affected 7.9% of men and 16.6% of women in the US, with higher rates in Mexican Americans and lower rates in African Americans. Gallstones form due to abnormal bile composition and are either cholesterol stones made of cholesterol and calcium salts or pigment stones composed primarily of calcium bilirubinate.

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    Epidemiology_Upper-Epigastric-Pain

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    Acute calculous cholecystitis results from a gallstone obstructing the cystic duct, causing inflammation of the gallbladder. Symptoms include right upper quadrant pain, anorexia, nausea, vomiting, and fever. Gallstones are quite common in Western countries and their prevalence increases with age. The NHANES III survey found that gallstones affected 7.9% of men and 16.6% of women in the US, with higher rates in Mexican Americans and lower rates in African Americans. Gallstones form due to abnormal bile composition and are either cholesterol stones made of cholesterol and calcium salts or pigment stones composed primarily of calcium bilirubinate.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    17 views2 pages

    Epidemiology - Upper Epigastric Pain

    Uploaded by

    Jerahmeel Sombilon Genilla
    Acute calculous cholecystitis results from a gallstone obstructing the cystic duct, causing inflammation of the gallbladder. Symptoms include right upper quadrant pain, anorexia, nausea, vomiting, and fever. Gallstones are quite common in Western countries and their prevalence increases with age. The NHANES III survey found that gallstones affected 7.9% of men and 16.6% of women in the US, with higher rates in Mexican Americans and lower rates in African Americans. Gallstones form due to abnormal bile composition and are either cholesterol stones made of cholesterol and calcium salts or pigment stones composed primarily of calcium bilirubinate.

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    of 2

    (SLIDE 1)

    ACUTE CALCULOUS CHOLECYSTITIS

    results from obstruction of the cystic duct, usually by a gallstone, followed by distension and subsequent
    chemical or bacterial inflammation of the gallbladder

     Right upper quadrant paint


     Anorexia
     Nausea
     Vomiting
     Fever

    95% of people with acute cholecystitis have gallstones (calculous cholecystitis)

    5% lack gallstones (acalculous cholecystitis)

    (SLIDE 2)

    Gallstones are quite prevalent in most Western countries. Gallstone formation increases after age 50. In
    the United States, the third National Health and Nutrition Examination Survey (NHANES III) has revealed
    an overall prevalence of gallstones of 7.9% in men and 16.6% in women. The prevalence was high in
    Mexican Americans (8.9% in men, 26.7% in women), intermediate for non-Hispanic whites (8.6% in men,
    16.6% in women), and low for African Americans (5.3% in men, 13.9% in women).
    (SLIDE 3)

    Gallstones are formed because of abnormal bile composition. They are divided into two major types:

    A. Cholesterol stones
     account for >90% of all gallstones in Western industrialized countries
     usually contain >50% cholesterol monohydrate plus an admixture of calcium salts, bile
    pigments, proteins and fatty acids
    B. Pigment stones
     composed primarily of calcium bilirubinate
     they contain <20% cholesterol and are classified into “black” and “brown” types, the
    latter forming secondary to chronic biliary infection

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