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PBL Case Presented by:

PBL - Cholecystitis

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Problem Based Learning case on Cholecystitis. Powerpoint presentation for health sciences education.

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PBL CasePresented by:

Problem-Based LearningLearning to think like a doctor!ObserveAsk questionsPhysical examDiagnostic tests

Part one:26 year old male admitted to the ER presents with pain in the right upper quadrant (RUQ).

Which organs are in the upper right quadrant?What are their functions?

LiverGallbladderColon (big intestine)PancreasPart of stomach and small intestine.

Right Upper Quadrant

Part twoYou ask the patient questions.What makes it worse?Describe the pain.Question diet. Fat/greasy foods? Dairy products?Patients response:Pain starts while hes eating. Its a sharp, throbbing pain, radiates to right flank and to back.He eats a lot of fast food, especially cheeseburgers.

What would you like to do next?Poke at where it hurts!

Part threeYou deep palpate below the right ribcage, which causes the patient lots of pain.

Whats next?Form a differential diagnoses and a plan.

What is your plan?

Part fourAn Ultrasound of the Abdomen results in GALLSTONES Stones in the gallbladderLab results: HIGH alkaline phosphatase, HIGH conjugated bilirubin, NORMAL unconjugated bilirubin.Ultrasound:

Part five:

SurgeryCholecystectomy

Patient leaves home happy! =)

Overviewhttps://www.youtube.com/watch?v=GErcHVxxK5c

Laparoscopic Cholecystectomyhttps://www.youtube.com/watch?v=NWIT2yJN608