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
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.
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.
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.
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.
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
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).
I do highly appreciate that effort with that simple clear direct simplified strategy of sending information in publishing medical sciences... thanks a lot
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
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.
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
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.
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
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.
Still confused with difference between primary biliary cholangitis (PBC) and primary sclerosing cholangitis (PSC). can you please make a video on that too
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 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.
This video was uploaded 7 years ago and i am watching it in 2024. Thank you so much for clearing out the confusion.
Same here!!!
@@deidara5333same here
same here
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
Thank you so much for the summary.
Thank you
I needed that
i take the ss😹
Really Appreciate you.
Added with differentiating sign n sym with lab and radiology
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.
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.
Couldn’t agree more!
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.
Your beautiful and lucid explanations alleviate my migraines. These vids are HELPFUL. THANK YOU!!♡
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.
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
@@ebo5246 Then what are you doing here ?
@@kunalthaf760 expressing my opinion
U made me laugh thank you 😂❤
ahahahhahahaha
Textbook definition of NAILED IT. Thank you!
Best lecture on gallbladder I’ve ever had. Thank you!
you have no idea how this video helped me differentiate between these four, thank you!!
Wow. You should win award for being the best. No challenger i salute you for the good job done. We need more videos too.
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).
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.
This is the most the most helpful, easy to follow information that ice seen on this subject. So very informative. Thank you.
O man. You always save me. Thank youuuuu sooo muchhh for this. I wish I was taught like this in my medical school.
Brilliant, as clear as glass!!! Thank you so much
Go to your notes if u want , I have gotten it all from here. A big thanks Doc
This is literally my favorite video on youtube! Its crystal clear now. Thanks so much!
The clarity is magnificent
I do highly appreciate that effort with that simple clear direct simplified strategy of sending information in publishing medical sciences... thanks a lot
Things became so clear after watching your video. Appreciate your effort.
You care so much to make information so clear and memorable, that touches my heart , you are amazing, love you 😍😍
Amazing to the point quick and emphasis on the name says it all thanks so much
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
Great work worthy watching
100 times thankfull to you for making it clear this confusing topics❤️❤️❤️
THANK YOU SO MUCH! FINALLY I UNDERSTAND THIS! GOD BLESS YOU.
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.
thank you so much for this video, clear, short and no headache at the end
Thank you for making my review easy. God bless you
Take love Brother
Top level , remove confusion
Between this channel, Ninja Nerd Medicine & Hasudungan' channels there's a lot of hight quality material incredibly useful.
its like whats the point of going to lectures? lmao
Studying for my Midterm in NP school, and this was so helpful!! thanks so much
I have so much appreciation for you. Thank you so much for this video! ❤
This is one of the best Dirty medicine videos I have ever watched wow
GOAT 🐐 , Thank you 🙏
I am looking for you a long time ago >> with you medicine get more easier , god bless you from KSA
Am so happy i found you, this one of the topics i needed help with.
*note* the major duodenal papilla is in D2, not D1! :) but this video helped me heaps, thanks!
Great that someone else paid attention to this... Yes the Ampulla of Vater lies in the descending duodenum (D2)
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!
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
This is just amazingly done. Thank you so much
Thank you so much for making this video! I also really appreciate the summary slide at 15:55. :)
Well done Dirty!!!!...biliary pathology have never bn so clearer.
Best explanation ever !!
So helpful.. really easy to understand, looking more lessons from this channel..
Thanks ☺️
you did a really good job breaking that down.. thanks
thank you so much for all the work you do!!!
Bro plz upload more..more more more
Just love ur concepts
I cannot thank you enough for your videos!
جهان سپاس داکتر صاحب
Your videos and channels rock!! Thank you!
He teaches better than my professors 🙌
This is the best video no cap Thanks A lot I will not forget it
Maad ku mahadsan tahay sida fcn ee aad noogu sharaxday.
Thank you for your explanation about gallstones
Your videos are crazy didactic. Thank you from Brazil!
Wow impressed by your teaching expertise❤😍
awesome educational video to help this medical coder understand!!
Thank you so much, now i can explain to my med students... It can be understood easily
this made everything so much easier
I wish I could give this a billion thumbs up, wow!❤
Thank you!! your explanation is brilliant
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.
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
Difference is that cholelithiasis produced post prandial pain for less than 6 hours
While Cholecystitis produces pain for more than 6 hours
Brilliant! And your voice is super attractive!
LOL
Yupssss😂
The Best Explanation! Thank You
More than GREAT🙏🏼 thank you sooo much
This was so helpful and informative in such a short space of time
Least category of gall bladder disease is cholangitis which is inflammation easily treatable
Very clear presentation
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.
better than my 2 hour med school lectures
Wow you are amazing. Such a well explained and clear video.
Thank you so much ❤❤❤
Still confused with difference between
primary biliary cholangitis (PBC) and primary sclerosing cholangitis (PSC).
can you please make a video on that too
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).
@@leonpeter224 Okay Thankyou!
@@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.
@@whitelion124 Okay.. thanks a lot
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
You’re the best!!! Thank you for posting this awesomest video
Love this video. Best straight forward explanation
So helpful...thank you! I'm looking for all your lessons now!
Thank you so much. Perfect video. Well done!
Perfect!! It make me help understanding the differences clearly! Thnks!!
Drains in second part of duodenum 1:48
.
Amazing explanation,
You r my hero .. thx brother may allah bless u ❤❤❤🙏
Wow very well put video and very informative.
your voice nd brain are amazing thank u
Wow you’re amazing. Thank you so much! This made everything so clear!
Thank you! These videos are amazing
Very simple I understood the lecture
Just awesome...
We need more...
Wonderful class, thank you very much.
Very simple and informative explanation
It's really helpful ☺️🤍🤍🤍🙏🙏🙏👍👍👍
THANK YOU SOOOOOOOOOOOOOOO MUCH YOU R INTELLIGENCE
thank you sir, crampy pain not colicky in GB unlike intesstinal ureteric colic
Thank u so much brother. Very helpful. God bless you ❤️😇
great video! great explanation. Thank you
2nd part of duodenum i guess.
Transition between them is probably most accurate but the point is negligible for the sake of boards
DirtyUSMLE it is 2nd portion of duodenum!
Wonderful video, thank you for this!!!
You explained everything perfectly 👌🏼 and made it easy