In this video Vinuri will give a detailed explanation of Courvoisier's Law. #gallbladderstones #cancer #law #medicine #hepatic #liverdisease #usmle #shortvideo #explanation
I don't understand, if a patient has jaundice, and has a palpable gallbladder,it's unlikely a gallstone. But the exception is that it is a gallstone? Like I don't understand how it's so contradictory
The exceptions are that if the stone is in the CBD then there’s no fibrosis and contraction of the gallbladder so then the gallbladder can dilate. Another way is if there’s two stones- one in the gallbladder and the other in the CBD, the one in gallbladder when blocked in the Hartman’s pouch cause an inflammation and swelling which cause the gallbladder to be palpable and the one in the CBD cause the ducts to dilate. And lastly a condition called mirizzi syndrome, where the cystic duct is short therefore a stone in the cystic duct cause the gallbladder to dilate and the ducts to dilate. In general, if it’s non palpable it’s a gallstone but these are a few exceptions depending on where the stone is and the anatomical differences of the duct system. Hope you understand now. Try to draw it while watching the video, I think it’ll be helpful :)
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Perfect. Thanku for clearing concept.
Thank you so much for simplifying this!
Thank you so much for the amazing video
Simple, Quick ,and very clear
Easy to understand. Thank you.👏🏽👏🏽👏🏽
You're welcome!
Thanks ❤
very clear and simple explanation, thanks
Glad it was helpful!
Very clear explanation! Thank you!
Great explanation!
Glad it was helpful!
Clear explanation 🙏✅
Thank you!
Very good💯
Thanks :)
Thank you 😭😭
Good one!!
Perfect ❤
Thank you!! :)
Very nice was so easy to understand because of your explanation my brain is thanking you for that ,it was going crazy before 😂
Glad it helped!
Weel understood and simple
Well n clearly explained ❤
Glad you liked it
Thanks 🙏
thank you
You're welcome
I don't understand, if a patient has jaundice, and has a palpable gallbladder,it's unlikely a gallstone. But the exception is that it is a gallstone? Like I don't understand how it's so contradictory
The exceptions are that if the stone is in the CBD then there’s no fibrosis and contraction of the gallbladder so then the gallbladder can dilate.
Another way is if there’s two stones- one in the gallbladder and the other in the CBD, the one in gallbladder when blocked in the Hartman’s pouch cause an inflammation and swelling which cause the gallbladder to be palpable and the one in the CBD cause the ducts to dilate.
And lastly a condition called mirizzi syndrome, where the cystic duct is short therefore a stone in the cystic duct cause the gallbladder to dilate and the ducts to dilate.
In general, if it’s non palpable it’s a gallstone but these are a few exceptions depending on where the stone is and the anatomical differences of the duct system.
Hope you understand now. Try to draw it while watching the video, I think it’ll be helpful :)
شرح جميل ، شكراً❤
Thank you 🙏