Cholecystitis vs. Cholelithiasis vs. Cholangitis vs. Choledocolithiasis

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  • Опубликовано: 22 ноя 2024

Комментарии • 392

  • @me_priiya
    @me_priiya 7 месяцев назад +72

    This video was uploaded 7 years ago and i am watching it in 2024. Thank you so much for clearing out the confusion.

  • @mastercamel7902
    @mastercamel7902 5 лет назад +565

    Video in a Nutshell
    1.Cholelithiasis - Stone formation in Gall bladder
    2.Cholecystitis - Inflammation of the Gall bladder due to cystic duct obstruction
    3.Choledocolithiasis - Common bile duct obstruction leading to inflammation
    4.Cholangitis - Choledocolithiasis with Infection

  • @ashqaisi3948
    @ashqaisi3948 6 лет назад +45

    This Comment is for me when I come back to review this, to make this complete :
    -Pneumobilia: the presence of gas in the biliary system, Diagnoses = CT , Causes = ( ERCP or Incompetent sphincter of Oddi or Spontaneous biliary enteric fistula Gallstone ileus or Infection by Gas forming organism )
    -Gallstone ileus: Spontaneous biliary enteric fistula causes small bowel obstruction, Diagnoses = Rigler's triad.
    -Gallbladder Mucocele: Usually noninflammatory, it results from outlet obstruction of the gallbladder and is commonly caused by an impacted stone in the neck of the gallbladder or in the cystic duct.

  • @bryndrson8289
    @bryndrson8289 2 года назад +61

    In all of PA school, this is probably one of my favorite videos I have found online. I have referenced this so many times and understand biliary disorders incredibly well.

  • @christinefrier7888
    @christinefrier7888 2 года назад +24

    Explained in simple straightforward terms, that a non-medical student can understand. Thank you so much! The information will help me speak with my doctor today.

  • @hrush437
    @hrush437 6 лет назад +57

    Your beautiful and lucid explanations alleviate my migraines. These vids are HELPFUL. THANK YOU!!♡

  • @freedaboyoung3722
    @freedaboyoung3722 3 года назад +182

    Forget Taylor Swift, YOUR videos never go out of style. They're good for both learning and reviews. I was confused how I'd review for my exams and just ended up here.

    • @ebo5246
      @ebo5246 2 года назад +1

      But RUclips isn't sufficient for any board exam like USMLE, SMLE, PMLE or any other mle exam. For that, only a book like Harrison will be good enough. Not even for reviewing

    • @kunalthaf760
      @kunalthaf760 Год назад +9

      @@ebo5246 Then what are you doing here ?

    • @ebo5246
      @ebo5246 Год назад

      @@kunalthaf760 expressing my opinion

    • @aseelkhambashi2796
      @aseelkhambashi2796 8 месяцев назад

      U made me laugh thank you 😂❤

    • @hafsajabeen5303
      @hafsajabeen5303 8 месяцев назад

      ahahahhahahaha

  • @donnaperez1208
    @donnaperez1208 4 месяца назад +1

    Textbook definition of NAILED IT. Thank you!

  • @Doktracy
    @Doktracy Год назад +2

    Best lecture on gallbladder I’ve ever had. Thank you!

  • @rahafbilal8179
    @rahafbilal8179 3 года назад +6

    you have no idea how this video helped me differentiate between these four, thank you!!

  • @asaliweborah3241
    @asaliweborah3241 3 года назад +1

    Wow. You should win award for being the best. No challenger i salute you for the good job done. We need more videos too.

  • @bagelj7011
    @bagelj7011 8 месяцев назад

    here are two more from the First Aid page that people might want to know:
    Biliary colic: a stone has popped out of the gall bladder into the cystic duct and is causing pain, but has not yet caused gallbladder inflammation
    Gallstone ileus: stone got out of the biliary tree entirely via a fistula (aberrant connection between biliary tree and intestine) and is obstructing the GI tract (probably at ileocecal valve, the narrowest point).

  • @SanguineMedical
    @SanguineMedical 2 года назад +1

    An often simple way to think of it: Just look for fever and jaundice.
    + fever, + jaundice --> ascending cholangitis --> Treatment: ERCP
    + fever, - jaundice --> acute cholecystitis --> Workup: HIDA scan.
    - fever, + jaundice --> choledocholithiasis --> Treatment: ERCP
    - fever, - jaundice --> symptomatic cholelithiasis --> Workup: US only.

  • @gypsywine
    @gypsywine 4 года назад +15

    This is the most the most helpful, easy to follow information that ice seen on this subject. So very informative. Thank you.

  • @mirashahh789
    @mirashahh789 2 года назад +4

    O man. You always save me. Thank youuuuu sooo muchhh for this. I wish I was taught like this in my medical school.

  • @lauziukwimi2633
    @lauziukwimi2633 9 месяцев назад +1

    Brilliant, as clear as glass!!! Thank you so much

  • @abrahamlumande8072
    @abrahamlumande8072 5 лет назад +1

    Go to your notes if u want , I have gotten it all from here. A big thanks Doc

  • @joselyndiaz9229
    @joselyndiaz9229 5 лет назад +11

    This is literally my favorite video on youtube! Its crystal clear now. Thanks so much!

  • @Asantewarrior
    @Asantewarrior 4 года назад +1

    The clarity is magnificent

  • @apexdev3524
    @apexdev3524 6 лет назад +2

    I do highly appreciate that effort with that simple clear direct simplified strategy of sending information in publishing medical sciences... thanks a lot

  • @peacesoon
    @peacesoon 2 года назад +1

    Things became so clear after watching your video. Appreciate your effort.

  • @Redrose-uy7gr
    @Redrose-uy7gr 3 года назад +6

    You care so much to make information so clear and memorable, that touches my heart , you are amazing, love you 😍😍

  • @sseraj2898
    @sseraj2898 Год назад

    Amazing to the point quick and emphasis on the name says it all thanks so much

  • @XenoMantys
    @XenoMantys 3 года назад +1

    man, i do hope u apply for an university teacher job some day, have great day sir, i dont think i would be able to pass my residency exam without ur videos. much luv

  • @drlenton1746
    @drlenton1746 Год назад +1

    Great work worthy watching

  • @druzairkhanwazir9150
    @druzairkhanwazir9150 3 года назад +1

    100 times thankfull to you for making it clear this confusing topics❤️❤️❤️

  • @john.the.beloved
    @john.the.beloved 2 года назад +1

    THANK YOU SO MUCH! FINALLY I UNDERSTAND THIS! GOD BLESS YOU.

  • @dianasalazar4488
    @dianasalazar4488 3 года назад +1

    Thank you so much. I'm a nursing student and my patient has cholodocolitiasis with signs with colelithiasis (with a +murphy sign) in his chart. But you saved me so much time looking this up because the colodocolitiasis isn't in my med-surg book. He is having ERCP surgery later on today when I see him.

  • @lookingforsure
    @lookingforsure 7 лет назад +16

    thank you so much for this video, clear, short and no headache at the end

  • @kaisarimbisso5011
    @kaisarimbisso5011 Год назад

    Thank you for making my review easy. God bless you

  • @dmcstation3552
    @dmcstation3552 3 года назад +1

    Take love Brother

  • @amirzeb4153
    @amirzeb4153 Год назад +1

    Top level , remove confusion

  • @julioamarilla3249
    @julioamarilla3249 4 года назад +2

    Between this channel, Ninja Nerd Medicine & Hasudungan' channels there's a lot of hight quality material incredibly useful.

    • @sonny4997
      @sonny4997 4 года назад +1

      its like whats the point of going to lectures? lmao

  • @nicolecoyle4750
    @nicolecoyle4750 2 года назад +2

    Studying for my Midterm in NP school, and this was so helpful!! thanks so much

  • @duaasareshwala
    @duaasareshwala Год назад +1

    I have so much appreciation for you. Thank you so much for this video! ❤

  • @Mariam-yc7qy
    @Mariam-yc7qy Год назад

    This is one of the best Dirty medicine videos I have ever watched wow

  • @moussaalkhateeb882
    @moussaalkhateeb882 2 года назад +2

    GOAT 🐐 , Thank you 🙏

  • @anas272829
    @anas272829 7 лет назад +5

    I am looking for you a long time ago >> with you medicine get more easier , god bless you from KSA

  • @innocentjarrell7248
    @innocentjarrell7248 6 лет назад +23

    Am so happy i found you, this one of the topics i needed help with.

  • @joannetay9779
    @joannetay9779 7 лет назад +24

    *note* the major duodenal papilla is in D2, not D1! :) but this video helped me heaps, thanks!

    • @saidnassr9963
      @saidnassr9963 2 года назад +1

      Great that someone else paid attention to this... Yes the Ampulla of Vater lies in the descending duodenum (D2)

  • @stronger3381
    @stronger3381 3 года назад +4

    Resume:
    1. Cholelithiasis- colic pain, worse with fatty foods, RUQ ultrasound, elective cholecystectomy (depending on symptoms).
    2. Cholecystitis- inflammation +Murphy sign (inhale-pain), constant pain, fever, WBC is up, HIDA scan (with dye), cholecystectomy.
    3. Choledocholithiasis- obstruction of common bile duct, jaundice, ERCP (diagnostic + treatment).
    4. Cholangitis- choledocholithiasis + infection, Charcot's triad (fever, jaundice, RUQ pain). Progress to Reynold's pentad. RUQ ultrasound and emergency ERCP. Could be fatal!

  • @5.0Mikah
    @5.0Mikah 3 года назад

    Thank You So Much For Laying Out This Video , Seeing This information Really Was Helpful i Admit , i Recently Got Diagnosed With Galstones in My Galbladder & Have A Referral To See A Surgeon , i Cant Wait To Get Well Soon & Most Likely A Change Of Life Style After The Procedure ,Take Care & God Bless You All

  • @MedicalSection
    @MedicalSection Год назад +2

    This is just amazingly done. Thank you so much

  • @alyssa-do
    @alyssa-do 3 года назад +11

    Thank you so much for making this video! I also really appreciate the summary slide at 15:55. :)

  • @oriarebunjerry4326
    @oriarebunjerry4326 5 месяцев назад

    Well done Dirty!!!!...biliary pathology have never bn so clearer.

  • @bigwinner000b7
    @bigwinner000b7 Год назад +1

    Best explanation ever !!

  • @mr_crazy13
    @mr_crazy13 2 года назад +5

    So helpful.. really easy to understand, looking more lessons from this channel..
    Thanks ☺️

  • @amberjames6880
    @amberjames6880 2 года назад

    you did a really good job breaking that down.. thanks

  • @aliyahal-islam1580
    @aliyahal-islam1580 2 года назад +1

    thank you so much for all the work you do!!!

  • @ashumedico12
    @ashumedico12 8 лет назад +89

    Bro plz upload more..more more more
    Just love ur concepts

  • @erikaramirez-jr9lh
    @erikaramirez-jr9lh 9 месяцев назад

    I cannot thank you enough for your videos!

  • @ezatullaha.3502
    @ezatullaha.3502 3 года назад

    جهان سپاس داکتر صاحب

  • @enriquemartinez4671
    @enriquemartinez4671 3 года назад

    Your videos and channels rock!! Thank you!

  • @genesisdeoleo9557
    @genesisdeoleo9557 2 года назад

    He teaches better than my professors 🙌

  • @basheerahmed8389
    @basheerahmed8389 Год назад

    This is the best video no cap Thanks A lot I will not forget it

  • @bileosman918
    @bileosman918 5 лет назад

    Maad ku mahadsan tahay sida fcn ee aad noogu sharaxday.
    Thank you for your explanation about gallstones

  • @rodrigomelo9584
    @rodrigomelo9584 3 года назад

    Your videos are crazy didactic. Thank you from Brazil!

  • @saqibriaz6482
    @saqibriaz6482 3 года назад

    Wow impressed by your teaching expertise❤😍

  • @anitaphelps7800
    @anitaphelps7800 6 лет назад +1

    awesome educational video to help this medical coder understand!!

  • @indribudiarti2062
    @indribudiarti2062 2 года назад

    Thank you so much, now i can explain to my med students... It can be understood easily

  • @zaynasyyed6492
    @zaynasyyed6492 4 года назад

    this made everything so much easier

  • @godschosen1529
    @godschosen1529 3 месяца назад

    I wish I could give this a billion thumbs up, wow!❤

  • @nihalsofyan5317
    @nihalsofyan5317 4 года назад +1

    Thank you!! your explanation is brilliant

  • @rostoddart5440
    @rostoddart5440 4 года назад +16

    Great video! Small mistake though - cholelithiasis does not typically cause a colicky kind of pain; it's constant. The term biliary colic is a misnomer.

    • @doctora1110
      @doctora1110 4 года назад +2

      I do like the fact that we all participate in discussion sort of way
      And be able to spot the difference and the mistakes about the topic
      # but its pretty much informative

    • @SuhasKool
      @SuhasKool 3 года назад +3

      Difference is that cholelithiasis produced post prandial pain for less than 6 hours
      While Cholecystitis produces pain for more than 6 hours

  • @medicineislifeee
    @medicineislifeee 8 лет назад +46

    Brilliant! And your voice is super attractive!

  • @nuralhudaakbar2389
    @nuralhudaakbar2389 6 лет назад +1

    The Best Explanation! Thank You

  • @mar7956
    @mar7956 3 года назад

    More than GREAT🙏🏼 thank you sooo much

  • @samshezi7131
    @samshezi7131 4 года назад +1

    This was so helpful and informative in such a short space of time

  • @aimanmalik4411
    @aimanmalik4411 7 месяцев назад

    Least category of gall bladder disease is cholangitis which is inflammation easily treatable

  • @michaellaconte8338
    @michaellaconte8338 2 года назад

    Very clear presentation

  • @rajasohail6972
    @rajasohail6972 Год назад

    In cholelithaisis, biliary colic is pain which is steady not intermitent. The point which is tobe remembered is that pain last only for 3-4(less than 6) hours.

  • @raniaqureshi3763
    @raniaqureshi3763 Год назад +1

    better than my 2 hour med school lectures

  • @nurahmed7584
    @nurahmed7584 3 года назад

    Wow you are amazing. Such a well explained and clear video.

  • @YordanosTeshale-z9u
    @YordanosTeshale-z9u Год назад +1

    Thank you so much ❤❤❤

  • @BhavyaKansal18
    @BhavyaKansal18 4 года назад +15

    Still confused with difference between
    primary biliary cholangitis (PBC) and primary sclerosing cholangitis (PSC).
    can you please make a video on that too

    • @leonpeter224
      @leonpeter224 4 года назад +2

      Hey, they're really similar, but in addition to differing demographics and associated mutations, PBC only involves intrahepatic bile ducts while PSC involves intra and extrahepatic bile ducts (First Aid 2020).

    • @BhavyaKansal18
      @BhavyaKansal18 4 года назад

      @@leonpeter224 Okay Thankyou!

    • @whitelion124
      @whitelion124 4 года назад +8

      @@BhavyaKansal18 A good way to remember is PBC affects women and has an anti-mitochondrial antibody, so there's that connection. PSC is mostly men with UC, and has the "beading" in the intra and extrahepatic bile ducts.

    • @BhavyaKansal18
      @BhavyaKansal18 4 года назад +1

      @@whitelion124 Okay.. thanks a lot

    • @أستغفرالله-د9ق7س
      @أستغفرالله-د9ق7س 4 года назад

      Hello my freind i really love medecine if you don't mind you help me to find sources to understand my courses specilaly of signs and symptoms

  • @mbibi
    @mbibi 5 лет назад +1

    You’re the best!!! Thank you for posting this awesomest video

  • @ChloeDunIT
    @ChloeDunIT 5 лет назад +1

    Love this video. Best straight forward explanation

  • @vcoots1
    @vcoots1 6 лет назад +1

    So helpful...thank you! I'm looking for all your lessons now!

  • @smsmsa9255
    @smsmsa9255 3 года назад

    Thank you so much. Perfect video. Well done!

  • @karlasoriano6083
    @karlasoriano6083 7 лет назад

    Perfect!! It make me help understanding the differences clearly! Thnks!!

  • @jeehamaihukhalnayak5718
    @jeehamaihukhalnayak5718 3 года назад +3

    Drains in second part of duodenum 1:48
    .

  • @user-yehia
    @user-yehia Год назад

    Amazing explanation,

  • @مصطفىمحمدحميد-د3ع
    @مصطفىمحمدحميد-د3ع 7 месяцев назад

    You r my hero .. thx brother may allah bless u ❤❤❤🙏

  • @99monsivais
    @99monsivais 3 года назад

    Wow very well put video and very informative.

  • @thumbsupd5164
    @thumbsupd5164 Год назад

    your voice nd brain are amazing thank u

  • @angelalopez6667
    @angelalopez6667 6 лет назад +8

    Wow you’re amazing. Thank you so much! This made everything so clear!

  • @studyandvibe6892
    @studyandvibe6892 2 года назад

    Thank you! These videos are amazing

  • @سعدالشهراني-د6ض
    @سعدالشهراني-د6ض 4 года назад

    Very simple I understood the lecture

  • @mdkamrulislam9885
    @mdkamrulislam9885 5 лет назад

    Just awesome...
    We need more...

  • @brenobonfim5749
    @brenobonfim5749 2 года назад +1

    Wonderful class, thank you very much.

  • @SajidKhan-vt9jd
    @SajidKhan-vt9jd 6 лет назад

    Very simple and informative explanation

  • @dralibhapanda4277
    @dralibhapanda4277 Год назад +1

    It's really helpful ☺️🤍🤍🤍🙏🙏🙏👍👍👍

  • @huvchussa9218
    @huvchussa9218 2 года назад

    THANK YOU SOOOOOOOOOOOOOOO MUCH YOU R INTELLIGENCE

  • @aemerodagnu325
    @aemerodagnu325 3 года назад

    thank you sir, crampy pain not colicky in GB unlike intesstinal ureteric colic

  • @immanueldasilvayt9137
    @immanueldasilvayt9137 4 года назад

    Thank u so much brother. Very helpful. God bless you ❤️😇

  • @losdonoso
    @losdonoso 2 года назад

    great video! great explanation. Thank you

  • @makeitaleapyear6062
    @makeitaleapyear6062 8 лет назад +49

    2nd part of duodenum i guess.

    • @DirtyMedicine
      @DirtyMedicine  8 лет назад +10

      Transition between them is probably most accurate but the point is negligible for the sake of boards

    • @jasenkakraljevic7758
      @jasenkakraljevic7758 6 лет назад +3

      DirtyUSMLE it is 2nd portion of duodenum!

  • @jav4346
    @jav4346 3 года назад

    Wonderful video, thank you for this!!!

  • @ad5610
    @ad5610 2 года назад

    You explained everything perfectly 👌🏼 and made it easy