147 Sentences With "gallstone" | Random Sentence Generator

Doctors there found the culprit: a gallstone had inflamed his pancreas.

"Taking a gallstone out surgically would be almost unheard of today," he said.

I'm not sure I needed to know the details of your gallstone removal, though.

Using this surgical technique, it was easy to take out even an inflamed gallbladder without spilling a single gallstone.

In remarkable congressional testimony in 2007, Comey would describe what happened next: Hours later, Ashcroft keeled over with gallstone pancreatitis.

Patients with gallstones should be monitored closely based on a careful assessment of gallstone and heart disease risk factors, Qi said.

Surgeons rushed to remove a gallstone blocking his bile duct — only to discover that a massive pseudocyst had formed around his pancreas.

"If you have gallstones and you have symptoms from your gallstone, then we usually recommend surgery to remove the gallbladder," Mattei said.

It is also recommending the Peaceful Palace Bovine Pill, a traditional Chinese medicine made with the gallstone of cattle, buffalo horn, jasmine and pearl.

GENETIC DISEASE In the case of CDCA, a decades-old gallstone medicine, the drug used to cost 30,000-40,000 euros for a year's worth of pills.

As I stood at the railing on a winter morning, looking down on what appeared to be a frosted gallstone, I felt, more than anything, a sense of commiseration.

One such remedy recommended by the Chinese government is called the Peaceful Palace Bovine Pill, which is made with the gallstone of cattle, buffalo horn, jasmine, and pearl, according to The New York Times.

The FDA also warns about maintaining such a low-calorie intake, claiming it can cause side effects including gallstone formation, an imbalance of the electrolytes that keep the body's muscles and nerves functioning properly, and an irregular heartbeat.

He said that he first diagnosed a gallstone in Warhol in 1973, but that Warhol had refused to undergo surgery because of a fear of hospitals that dated to 1968, when he was shot by the radical feminist Valerie Solanas.

Hardened deposits known as gallstones form in the gallbladder when the bile contains too much cholesterol or other abnormal substances, and while the cause is not fully understood, factors like obesity, high-calorie diets and metabolic syndrome are associated with gallstone risk.

On the night of March 10, 2004, Comey had learned that Gonzales, then the White House counsel, and Andrew Card, the White House chief of staff, were heading to a Washington hospital, where John Ashcroft, the Attorney General, suffering from gallstone pancreatitis, was in intensive care.

The story has become legend: On March 10, 2004, Deputy Attorney General James Comey got word that White House Counsel Alberto Gonzales and Chief of Staff Andy Card were headed to George Washington University Hospital to confront Comey's boss, John Ashcroft, there suffering from severe gallstone pancreatitis, about extending counterterrorism surveillance efforts within the United States in extremely questionable ways that very likely were unconstitutional.

When a gallstone gets trapped, it can lead to an intestinal obstruction, called gallstone ileus, leading to abdominal pain, vomiting, constipation, and abdominal distension.

Bouveret's syndrome refers to reverse gallstone ileus where the gallstone propagates proximally and causes gastric outlet obstruction by being impacted in first part of duodenum.

After admission, 132 patients were assumed to have acute gallstone pancreatitis.

After passing a gallstone, he was released, whereupon he immediately resumed training.

There are some reports of gallstone ileus without fistula following endoscopic sphincterotomy.

In October 2019 he had an operation to remove a gallstone in Belgium.

Rigler's triad is a combination of findings on an abdominal radiograph of people with gallstone ileus, a condition where a large gallstone causes bowel obstruction. Rigler's triad consists of: (1) small bowel obstruction, (2) a gallstone outside the gallbladder, and (3) air in the bile ducts. It bears the name of Leo George Rigler (1896–1979), who described it in 1941. It is not the same as Rigler's sign.

Rondeau died on 9 March 1994 because of complications arising from gallstone removal surgery.

Seeing a patient who has had uncomplicated, first-time gallstone pain requires some judgment.

If you have a gallstone, you are not necessarily more likely to develop kidney stones.

The treatment of gallstone with our existing lithotripters was approved by the FDA in September.

The treatment plan for uncomplicated gallstone disease will depend on the frequency and severity of your symptoms.

Hysteria will imitate nearly every form of cramp, including even those due to gallstone and kidney calculus.

Lamb died on May 15, 2008, at the age of 94, due to complications of a gallstone disorder.

And that's not to mention research showing that beer is protective against gallstone formation, osteoporosis and even diabetes.

Such is the pain produced by lead-colic, or by the passage of a gallstone or renal calculus.

Choledocholithiasis, the presence of a gallstone in the common bile duct, is a troublesome component of biliary tract disease.

Patients with acute gallstone pancreatitis who are strongly suspected to have common duct stones require rapid assessment for choledocholithiasis.

Gallstone ileus is a rare form of small bowel obstruction caused by an impaction of a gallstone within the lumen of the small intestine. Such a gallstone enters the bowel via a cholecysto-enteric fistula. The presence of large stones, >2.5 cm in diameter, within the gallbladder are thought to predispose to fistula formation by gradual erosion through the gallbladder fundus. Once a fistula has formed, a stone may travel from the gallbladder into the bowel and become lodged almost anywhere along the gastrointestinal tract.

If it is caused by an obstruction such as a gallstone or a tumour, you may need to have surgery.

This type of jaundice is usually caused by a gallstone, or a tumour or cyst in the bile duct or pancreas.

The passage of a gallstone down the bile duct into the duodenum is very painful, and is known as biliary colic.

This report describes the symptoms, diagnosis, and management of Bouveret syndrome, as well as its prevalence and differentiation from gallstone ileus.

Although rare, a large gallstone in the gallbladder will sometimes erode through the gallbladder wall into an adjacent viscus, usually the duodenum.

Repeated doses of lanreotide increased gall bladder weight suggesting that the drug may increase the risk of gallstone formation in some patients.

If any kind of treatment is done during ERCP, such as removing a gallstone, you may need to stay in the hospital overnight.

People can live without a gallbladder, and the most common treatment for gallstone problems is surgical removal of the gallbladder, known as cholecystectomy.

There is indeed a clear connection between the high level of saturated fat in the Nordic diet and vascular disorders, overweight and gallstone.

Biliary colic, also known as symptomatic cholelithiasis, a gallbladder attack or gallstone attack, is when a colic (sudden pain) occurs due to a gallstone temporarily blocking the cystic duct. Typically, the pain is in the right upper part of the abdomen. Pain usually lasts from 15 minutes to a few hours. Often, it occurs after eating a heavy meal, or during the night.

An elevated body mass index is not just associated with symptomatic gallstone disease, it appears to cause the disease, according to a new report.

Clinical Nutrition 4(4): 119-30, 1985. # Faizullah Kakar. Risk factors for the occurrence of gallstone disease in women: a case-control study. PhD Dissertation.

Occasionally, a person who has had a cholecystectomy is diagnosed with a gallstone in the bile ducts weeks, months or even years after the surgery.

If a gallstone blocks the opening to that duct, digestive enzymes can become trapped in the pancreas and cause an extremely painful inflammation called pancreatitis.

The cohort was monitored for the development of incident gallstone disease until June 2007, a follow up period of up to 14 years after recruitment.

The research paper of Dr Reddy and his team, establishing genetic link to gallstone formation, has been published in the Journal of Gastroenterology and Hepatology.

Without appropriate treatment, recurrent episodes of cholecystitis are common. Complications of acute cholecystitis include gallstone pancreatitis, common bile duct stones, or inflammation of the common bile duct. More than 90% of the time acute cholecystitis is from blockage of the cystic duct by a gallstone. Risk factors for gallstones include birth control pills, pregnancy, a family history of gallstones, obesity, diabetes, liver disease, or rapid weight loss.

Obstruction occurs most commonly at the near the distal ileum, within 60 cm proximally to the ileocecal valve. Rarely, gallstone ileus may recur if the underlying fistula is not treated. First described by Thomas Bartholin in 1654, the name "gallstone ileus" is a misnomer because an ileus is, by definition, a non-mechanical bowel motility failure (as opposed to a mechanical obstruction by a stone).

Another gallstone dissolver cannot be taken orally so moctanin has to be given via a catheter through the skin or via an endoscope into the gallbladder.

If the exam shows a gallstone or narrowing of the ducts, the physician can insert instruments into the scope to remove or work around the obstruction.

Imagine, for instance, having a gallstone attack and having to wait six months for a doctor and then being asked to recall how it felt and the specific details.

Brewer says Gallstones are cholesterol If the gallstone is too big to pass further into the bile duct, it may settle back into the gallbladder, but symptoms can recur.

Some persons with this disease may develop gallstones that require treatment. Continued hemolysis may produce pigmented gallstones, an unusual type of gallstone composed of the dark-colored contents of red blood cells.

Repeated attacks are common. Gallstone formation occurs from the precipitation of crystals that aggregate to form stones. The most common form is cholesterol gallstones. Other forms include calcium, bilirubin, pigment, and mixed gallstones.

The most serious problems in small intestine motor disturbances arise from an intestinal obstruction that results from encroachment on the bowel by an adhesive band or from internal blockage produced by a tumour or gallstone.

Cholesterol gallstone formation risk factors include age, female sex, family history, race, pregnancy, parity, obesity, hormonal birth control, diabetes mellitus, cirrhosis, prolonged fasting, rapid weight loss, total parenteral nutrition, ileal disease and impaired gallbladder emptying. Patients that have gallstones and biliary colic are at increased risk for complications, including cholecystitis. Complications from gallstone disease is 0.3% per year and therefore prophylactic cholecystectomy are rarely indicated unless part of a special population that includes porcelain gallbladder, individuals eligible for organ transplant, diabetics and those with sickle cell anemia.

Cholangitis and gallstone pancreatitis are rarer and more serious complications from gallstone disease. Both can occur if gallstones leave the gallbladder, pass through the cystic duct, and get stuck in the common bile duct. The common bile duct drains the liver and pancreas, and a blockage there can lead to inflammation and infection in both the pancreas and biliary system. While cholecystectomy is not usually the immediate treatment choice for either of these conditions, it is often recommended to prevent repeat episodes from additional gallstones getting stuck.

The causes of haemobilia include trauma (which can be accidental or iatrogenic due to procedures such as cholecystectomy), instrumentation (especially after ERCP), gallstone, inflammatory conditions ranging from ascariasis to PAN, vascular malformation, tumors, coagulopathy, and liver biopsy.

The presence of gallstones can lead to inflammation of the gallbladder (cholecystitis) or the biliary tree (cholangitis) or acute inflammation of the pancreas (pancreatitis). Rarely, a gallstone can become impacted in the ileocecal valve that joins the caecum and the ileum, causing gallstone ileus (mechanical ileus). Complications from delayed surgery include pancreatitis, empyema, and perforation of the gallbladder, cholecystitis, cholangitis, and obstructive jaundice. Biliary pain in the absence of gallstones, known as postcholecystectomy syndrome, may severely affect the patient's quality of life, even in the absence of disease progression.

Alanine aminotransferase and aspartate transaminase are usually suggestive of liver disease whereas elevation of bilirubin and alkaline phosphatase suggests common bile duct obstruction. Pancreatitis should be considered if the lipase value is elevated; gallstone disease is the major cause of pancreatitis.

Mrs Margaret summoned a doctor and a dose of morphine was given to Ismay. After 6 days he was feeling better and he returned to Dawpool in Thurstaston, Wirral. Within 6 weeks he had more violent pain. The doctor diagnosed it as a gallstone.

A blockage of the gallbladder or cystic duct may cause cholecystitis. If the blockage is beyond the confluence of the pancreatic duct, this may cause gallstone pancreatitis. In some instances of biliary obstruction, the bile may become infected by bacteria resulting in ascending cholangitis.

Vilhelm Bissen: A Lady. Emilie Marie Rovsing, née Raaschou, 1891 Rovsing's work covered abdominal pathologies, including cystitis, tuberculosis of the urinary tract, gallstone disease and appendicitis. He published about 200 papers and earned an international reputation. His writings on abdominal surgery were translated into German and English.

It is most commonly seen in 6th to 7th decade of life and affects females more often. Most patients with gallstone ileus are asymptomatic. Due to the fistula formation between the small intestine and gallbladder, large stones can lodge in the small bowel, leading to its obstruction. Pneumobilia means air in the biliary tract.

Mirin kasu contains water, alcohol, fat, carbohydrate, and protein. A type of protein called resistant protein can be found in Mirin kasu. Resistant protein is beneficial to the consumers’ health because it can improve immunity against lifestyle-related diseases including tumorigenesis, gallstone formation, corpulence hypercholesterolemia, constipation, and improving enteric fermentation of short-chain fatty acids.

Scintigraphy of the biliary system is called cholescintigraphy and is done to diagnose obstruction of the bile ducts by a gallstone (cholelithiasis), a tumor, or another cause. It can also diagnose gallbladder diseases, e.g. bile leaks of biliary fistulas. In cholescintigraphy, the injected radioactive chemical is taken up by the liver and secreted into the bile.

Location of the gallbladder Most people with gallstones do not have symptoms. However, when a gallstone temporarily lodges in the cystic duct, they experience biliary colic. Biliary colic is abdominal pain in the right upper quadrant or epigastric region. It is episodic, occurring after eating greasy or fatty foods, and leads to nausea and/or vomiting.

If the stone lodges in the biliary system, jaundice may occur; if the stone blocks the pancreatic duct, pancreatitis may occur. Gallstones are diagnosed using ultrasound. When a symptomatic gallstone occurs, it is often managed by waiting for it to be passed naturally. Given the likelihood of recurrent gallstones, surgery to remove the gallbladder is often considered.

Mewalal married Laxmi Devi Lal in 1944 when he was 18. They had three children together. He was admitted to a Kolkata hospital on 14 November 2008 after suffering from pneumonia. Diagnosed with a gallstone, he was again admitted on 8 December and was operated upon on 19 December, after which he was placed on a liquid diet.

Murphy's sign is commonly negative on physical examination in choledocholithiasis, helping to distinguish it from cholecystitis. Jaundice of the skin or eyes is an important physical finding in biliary obstruction. Jaundice and/or clay-colored stool may raise suspicion of choledocholithiasis or even gallstone pancreatitis. If the above symptoms coincide with fever and chills, the diagnosis of ascending cholangitis may also be considered.

Rubens' studio While hunting near Merkinė (Merecz) in early 1648, Władysław suffered from a case of gallstone or kidney stone. His condition worsened due to an incorrect medication. He was conscious that those were his final days, and had time to dictate his last will and receive last rites. Władysław died around 2 am on the night from 19 to 20 May 1648.

The two most common causes of acute pancreatitis are a gallstone blocking the common bile duct after the pancreatic duct has joined; and heavy alcohol use. Other causes include direct trauma, certain medications, infections such as mumps, and tumors. Chronic pancreatitis may develop as a result of acute pancreatitis. It is most commonly due to many years of heavy alcohol use.

On 2 July, four eminent French doctors, Nélaton, Ricord, Fauvel and Corvisart, examined him and confirmed the diagnosis. They were reluctant to operate, however, because of the high risk (gallstone operations did not become relatively safe until the 1880s) and because of the Emperor's weakness. Before anything further could be done, however, France was in the middle of a diplomatic crisis.Girard, 1986, p.

Bilirubin levels are often mildly elevated (1–4 mg/dL). If bilirubin levels are more significantly elevated, alternate or additional diagnoses should be considered such as gallstone blocking the common bile duct (common bile duct stone). Less commonly, blood aminotransferases are elevated. The degree of elevation of these laboratory values may depend on the degree of inflammation of the gallbladder.

Pancreatitis can result from a failure of pancreatic secretions to drain properly. One possible cause of impaired drainage of pancreatic juice is blockage of the sphincter of Oddi. A common cause of blockage is a gallstone in the common bile duct. Thomas' sign is the production of silver stools and can be indicative of cancer of the Ampulla of Vater.

There he revived some works of Rossini, such as Il viaggio a Reims and the overture for Maometto secondo. In 1941 he re-orchestrated La gazza ladra, reducing it to three acts. Three years later, he died in Trebbiantico, Pesaro, after undergoing gallstone surgery. His last words were for the priest who announced to him that Rome had been liberated the day before.

CDCA has been used in several other conditions. As diarrhea is frequent when CDCA is used in gallstone dissolution, it has been studied as a possible treatment for constipation and has been shown to accelerate colonic transit and improve bowel function. The Australian biotechnology company Giaconda has tested a treatment for Hepatitis C infection that combines chenodeoxycholic acid with bezafibrate.

Medical imaging such as ultrasound and CT scan may also be useful. Acute pancreatitis is usually treated with intravenous fluids, pain medication, and sometimes antibiotics. Typically eating and drinking are disallowed, and a nasogastric tube is placed in the stomach. A procedure known as an endoscopic retrograde cholangiopancreatography (ERCP) may be done to examine the distal common bile duct and remove a gallstone if present.

One of the many lipid lowering effects of the fibrate drug class is mediated through the inhibition of transcription of this enzyme. This inhibition leads to more cholesterol in the bile, which is the body's only route of cholesterol excretion. This also increases the risk of cholesterol gallstone formation. Inhibition of CYP7A1 is thought to be involved in or responsible for the hepatotoxicity associated with ketoconazole.

Sariola worked at a law firm, in a bank, as a primary school teacher and a journalist. He was a crime reporter at Helsingin Sanomat for ten years before becoming a freelance writer. Sariola occupied a central place in the Finnish mystery scene for decades, and published more than 80 books. Mauri Sariola died from complications after a gallstone operation in Helsinki on August 9, 1985.

Appendicitis is caused by a blockage of the hollow portion of the appendix. This is most commonly due to a calcified "stone" made of feces. Inflamed lymphoid tissue from a viral infection, parasites, gallstone, or tumors may also cause the blockage. This blockage leads to increased pressures in the appendix, decreased blood flow to the tissues of the appendix, and bacterial growth inside the appendix causing inflammation.

Further signs on ultrasound may suggest cholecystitis or choledocholithiasis. Computed Tomography (CT) is not indicated when investigating for gallbladder disease as 60% of stones are not radiopaque. CT should only be utilized if other intra- abdominal pathology exists or the diagnosis is uncertain. Endoscopic retrograde cholangiopancreatography (ERCP) should be used only if lab tests suggest the existence of a gallstone in the bile duct.

Gallstone disease is considered to be one of the most common digestive diseases. It is prevalent regardless of ethnicity with rates in the United States and Europe reported to be approximately 10-15%. It affects about 25 million people in the US and nearly 1 million people diagnosed annually will need to be treated. Studies have shown that 58-72% of patients with symptomatic gallstones will have ongoing symptoms and complications.

Cholestasis is a condition where bile cannot flow from the liver to the duodenum. The two basic distinctions are an obstructive type of cholestasis where there is a mechanical blockage in the duct system that can occur from a gallstone or malignancy, and metabolic types of cholestasis which are disturbances in bile formation that can occur because of genetic defects or acquired as a side effect of many medications.

Another partially inactivated pepsinogen completes the activation by removing the peptide, turning the pepsinogen into pepsin. Accidental activation of zymogens can happen when the secretion duct in the pancreas is blocked by a gallstone, resulting in acute pancreatitis. Fungi also secrete digestive enzymes into the environment as zymogens. The external environment has a different pH than inside the fungal cell and this changes the zymogen's structure into an active enzyme.

However, the focus on cleanliness which Dudley had taught them only caught on when Joseph Lister, 1st Baron Lister published his research on antiseptics in 1867, after the war. As a surgeon, Dudley performed lithotomy, or gallstone removal, up to 225 times. He also performed trephination, the practice of drilling a hole in a patient's head to cure them of traumatic epilepsy. Moreover, he performed surgery on patients suffering from aneurysm.

It is unclear whether those experiencing a gallstone attack should receive surgical treatment or not. The scientific basis to assess whether surgery outperformed other treatment was insufficient and better studies were needed as of a SBU report in 2017. Treatment of biliary colic is dictated by the underlying cause. The presence of gallstones, usually visualized by ultrasound, generally necessitates a surgical treatment (removal of the gall bladder, typically via laparoscopy).

Porcelain gallbladder is a calcification of the gallbladder believed to be brought on by excessive gallstones, although the exact cause is not clear. As with gallstone disease in general, this condition occurs predominantly in overweight female patients of middle age. It is a morphological variant of chronic cholecystitis. Inflammatory scarring of the wall, combined with dystrophic calcification within the wall transforms the gallbladder into a porcelain-like vessel.

This is because in the latter case, location of the lymph node has got to be in the CBD (simply by anatomical location) and one would expect a palpable gallbladder. All these speculations assume that the patient did not have gallstone disease previously (where the gallbladder would be fibrotic and not palpable) and that the patient does not have a history of other liver diseases (such as recurrent pyogenic cholangitis).

Blockage of the cystic duct by a gallstone causes a buildup of bile in the gallbladder and increased pressure within the gallbladder. Concentrated bile, pressure, and sometimes bacterial infection irritate and damage the gallbladder wall, causing inflammation and swelling of the gallbladder. Inflammation and swelling of the gallbladder can reduce normal blood flow to areas of the gallbladder, which can lead to cell death due to inadequate oxygen.

One newspaper, the Courrier de la Vienne, was warned by the censors to stop publishing articles which had "a clear and malicious intent to spread, contrary to the truth, alarms about the health of the Emperor".Séguin, 1990, p. 338 At the end of June 1870, a specialist in the problems of urinary tracts, Germain Sée, was finally summoned to examine him. Sée reported that the Emperor was suffering from a gallstone.

His health problems started in September 2002 when he suffered a heart attack and underwent bypass surgery. Tests following surgery indicated blood abnormalities and a diagnosis of aplastic anemia, which resulted in gallstone problems. Just before his death, D'Amico made news headlines across Canada when he spoke out about the poor quality of the country's health care system. D'Amico is survived by wife Dorothy, sons Angelo, Jeff and Anthony, and daughter Tina.

In 1983 the clinical dictionary Pschyrembel, from German scientific publisher Walter de Gruyter, contained information about the stone louse for the first time in printed form. The short article is thought to be based mainly on Loriot's TV documentary. Extending Loriot's parody, the Pschyrembel informs about the louse's "value" in fighting bladder, gall and kidney stones. The subspecies "gallstone louse" and "kidney stone louse" are mentioned only briefly due to "lack of further scientific data".

Compression, obstruction or inflammation of the pancreatic duct may lead to acute pancreatitis. The most common cause for obstruction is the presence of gallstones in the common bile duct, a condition called choledocholithiasis. Obstruction can also be due to duodenal inflammation in Crohn's disease. A gallstone may get lodged in the constricted distal end of the ampulla of Vater, where it blocks the flow of both bile and pancreatic juice into the duodenum.

James, however, is unable to. He is more successful at courting Anne Summerton, an American model. Jean-Pierre is successful at getting Harvey to buy a fake Van Gogh painting - he has always wanted one. When Harvey heads to Monte Carlo on vacation, a pill in his drink at the Casino causes severe abdominal pain which is made to look like a Gallstone, and Robin operates, though barely breaking the skin, and collects a large bill.

Enderlen specialized in numerous surgical procedures, including surgery of the nerves and blood vessels, as well as operations for ulcers and gallstone disorders. He developed innovative techniques in esophageal surgery, and with physiologist Ludolf von Krehl, performed stellate ganglion blocks and denervation operations on the heart. He also conducted experimental research for transplantation of blood vessels, bones and joints, etc. With Emil Gasser (1847–1919), he was the author of Stereoskopbilder zur Lehre von den Hernien (1906).

While embarking on Kullervo, an orchestral work inspired by the Kalevala, he fell ill but was restored to good health after gallstone- excision surgery. Shortly after returning to Helsinki, Sibelius thoroughly enjoyed conducting his Overture and the Scène de Ballet at a popular concert. He was also able to continue working on Kullervo, now that he was increasingly developing an interest in all things Finnish. Premiered in Helsinki on 28 April 1892, the work was an enormous success.

On February 12, 2006, shortly after the beginning of the General Assembly's legislative session, Fletcher was hospitalized with abdominal pain.Warren, "Fletcher Leaves Hospital for Home", p. A1 Doctors at St. Joseph East hospital in Lexington found a gallstone in his common bile duct and also diagnosed him with an inflamed pancreas and gallbladder disease. After surgery to remove the gallbladder, Fletcher developed a blood infection that slowed his recovery, but was discharged from the hospital on March 1.

Women are almost twice as likely as men to form gallstones especially during the fertile years; the gap narrows after the menopause. The underlying mechanism is female sex hormones; parity, oral contraceptive use and estrogen replacement therapy are established risk factors for cholesterol gallstone formation. Female sex hormones adversely influence hepatic bile secretion and gallbladder function. Estrogens increase cholesterol secretion and diminish bile salt secretion, while progestins act by reducing bile salt secretion and impairing gallbladder emptying leading to stasis.

A relatively frequently recurring character in the strip. Whenever anyone mentions in Topper's earshot any difficult task he or she accomplished, he barges into the conversation with a smug facial expression, exclaiming, "That's nothing!" He then proceeds to top the other's statement with his own, obviously implausible or downright ridiculous, claim (e.g. insulating his house with cheese, implanting himself with insect organs so he can spin silk, or passing a gallstone so big it became the Secretary of Labor in Clinton's administration).

Alexander Myln attributes reconstruction of the diocese to Brown's episcopate, namely in the creation of four rural deans. This is supported by other records, whereby four new deaneries come into the record during Brown's tenure, although Deans of Angus (Rattray) and Atholl can be found in the 13th century.Watt, Fasti Ecclesiae, pp. 122-4. Bishop Brown's last years witnessed the defeat and death of King James IV of Scotland at the Battle of Flodden, while the bishop himself suffered from Gallstone.

All four were transferred to the Adams County jail in Hastings to serve their sentences. Again the press covered the story of their imprisonment with false accounts. It was reported that Richards and Comstock were receiving special treatment but, in reality, the two were in the same surroundings as other prisoners and were granted very few privileges. In June 1911 Richards was allowed to go to the Mayo Clinic in Rochester, Minnesota, for gallstone surgery and returning to the Hastings jail on August 10.

McBurney's point at #1 This anomaly occurs because the pain nerves deep in the intestines do not localize well to an exact spot on the abdominal wall, unlike pain nerves in muscles. Pain from a stomach ulcer or gallstone can be interpreted by the brain as pain from the stomach, liver, gall bladder, duodenum, or first part of the small intestine. It will "refer" pain often to the mid upper abdomen, the epigastrum. Because the appendix is a piece of intestine, it follows a similar referral pattern.

Daughter Dorothea died of pneumonia as a teenager. His namesake James Jr., a Harvard Law student groomed as Curley's political successor, died in 1931 at age 23 following an operation to remove a gallstone. His son Paul, who was an alcoholic, died during Curley's 1945 mayoral run. His remaining daughter Mary died of a stroke in February 1950, and when her brother Leo was called to the scene, he became so distraught that he too suffered a cerebral hemorrhage and died the same day at age 35.

He was awarded an honorary fellowship by the Royal College of Surgeons of Edinburgh in 1905 during the college's 400th anniversary celebrations. The honorary fellowship was awarded to the 36 most well known surgeons of the time. In addition to his work on appendicitis, McBurney also published papers on the treatment of pyloric stenosis, management of shoulder dislocation with fracture of the humerus, and gallstone disease. He also introduced the use of rubber gloves during his operations to improve aseptic technique, following the lead of William Halsted.

Thus, Louis XI is one of the first modern kings of France who helped take it out of the Middle Ages. Louis XI was very superstitious and surrounded himself with astrologers. Interested in science, he once pardoned a man sentenced to death on condition that he serve as a guinea pig for a gallstone operation. Through wars and guile, Louis XI overcame France's mostly independent feudal lords, and at the time of his death in the Château de Plessis-lez-Tours, he had united France and laid the foundations of a strong monarchy.

Biliary obstruction refers to a condition when bile ducts which deliver bile from the gallbladder or liver to the duodenum become obstructed. The blockage of bile might cause a buildup of bilirubin in the bloodstream which can result in jaundice. There are several potential causes for biliary obstruction including gallstones, cancer, trauma, choledochal cysts, or other benign causes of bile duct narrowing. The most common cause of bile duct obstruction is when gallstone(s) are dislodged from the gallbladder into the cystic duct or common bile duct resulting in a blockage.

Not all gallstones implicated in ascending cholangitis actually originate from the gallbladder, but cholecystectomy (surgical removal of the gallbladder) is generally recommended in people who have been treated for cholangitis due to gallstone disease. This is typically delayed until all symptoms have resolved and ERCP or MRCP have confirmed that the bile duct is clear of gallstones. Those who do not undergo cholecystectomy have an increased risk of recurrent biliary pain, jaundice, further episodes of cholangitis, and need for further ERCP or cholecystostomy; the risk of death is also significantly increased.

ERCP is often used to retrieve stones stuck in the common bile duct in patients with gallstone pancreatitis or cholangitis. In this procedure, an endoscope, or small, long thin tube with a camera on the end, is passed through the mouth and down the throat. The doctor advances the camera through the stomach and into the first part of the small intestine to reach the opening of the bile duct. The doctor can inject a special, radiopaque dye through the endoscope into the bile duct to see stones or other blockages on x-ray.

Carl Langenbuch performed the first successful cholecystectomy in 1882 Carl Langenbuch performed the first successful cholecystectomy at the Lazarus hospital in Berlin on July 15, 1882. Before this, surgical therapy for symptomatic gallstones was limited to cholecystostomy, or gallstone removal. Langenbuch's rationale for developing the new technique stemmed from 17th century studies in dogs that demonstrated the gallbladder to be nonessential and medical opinion among his colleagues that gallstones formed in the gallbladder. Although the technique was initially controversial, cholecystectomy became established as a lower mortality procedure than cholecystostomy by the 20th century.

Biliary colic, or pain caused by gallstones, occurs when a gallstone temporarily blocks the bile duct that drains the gallbladder. Typically, pain from biliary colic is felt in the right upper part of the abdomen, is moderate to severe, and goes away on its own after a few hours when the stone dislodges. Biliary colic usually occurs after meals when the gallbladder contracts to push bile out into the digestive tract. After a first attack of biliary colic, more than 90% of people will have a repeat attack in the next 10 years.

On February 11, 1972, he was born in Hitachi, Ibaraki. He graduated in Department of Political Science Division II, School of Political Science and Economics, Meiji University. In July 2011, he revealed on Media Factory's website that he had advanced stage cancer that was discovered in February of that year and which was untreatable at the time, which affected his work on the final two volumes of Zero no Tsukaima. After an unrelated gallstone surgery, the cancerous growth was found to have shrunk allowing surgery to take place in early August 2011.

Pien Tze Huang (PZH) was developed in 1555 A.D. by a court doctor to treat cancer, diseases in the liver, and general pain and swelling. According to the Zhang Zhou PZH Pharmaceutical Company, research on the history of Pien Tze Huang has produced the tale of a royal physician who fled the imperial court with the recipe for PZH, using it to cure scores of locals and increasing its renown as an 'almighty medicine'. Its primary ingredients are musk, ox gallstone, snake gall, and Tienchi. It has been used as a folk remedy for cancer, inflammation, fever, stomach pain, and acne.

Shortly afterward, he was hospitalized with acute gallstone pancreatitis. White House Counsel Alberto Gonzales and Chief of Staff Andrew Card Jr. went to Ashcroft's bedside in the hospital intensive-care unit, to persuade the incapacitated Attorney General to sign a document to reauthorize the program. Acting Attorney General James Comey alerted FBI Director Robert Mueller III of this plan, and rushed to the hospital, arriving ahead of Gonzales and Card, Jr. Ashcroft, "summoning the strength to lift his head and speak", refused to sign. Attempts to reauthorize the program were ended by President Bush when Ashcroft, Comey and Mueller threatened to resign.

3D Medical Animation still shot of Acute Pancreatitis Acute pancreatitis (AP) is a sudden inflammation of the pancreas. Causes in order of frequency include: 1) a gallstone impacted in the common bile duct beyond the point where the pancreatic duct joins it; 2) heavy alcohol use; 3) systemic disease; 4) trauma; 5) and, in minors, mumps. Acute pancreatitis may be a single event; it may be recurrent; or it may progress to chronic pancreatitis. Mild cases are usually successfully treated with conservative measures: hospitalization, pain control, nothing by mouth, intravenous nutritional support, and intravenous fluid rehydration.

In a decree dated 18 April 1591 (Bulla Cum Sicuti), Gregory XIV ordered reparations to be made by Catholics in the Philippines to the natives, who had been forced into slavery by Europeans, and he commanded under pain of excommunication of the owners that all native slaves in the islands be set free. The biographers mention that Pope Gregory XIV had a nervous tendency to laughter, which occasionally became irresistible and even manifested itself at his coronation. Gregory XIV, who was in poor health before his election to the papacy, died due to a large gallstone and was succeeded by Innocent IX.

Cholangiogram through a nasobiliary drain showing the common bile duct in black (diagonally from top left to bottom right in the center) with an interruption in the contour due to a large gallstone. Given that ascending cholangitis usually occurs in the setting of bile duct obstruction, various forms of medical imaging may be employed to identify the site and nature of this obstruction. The first investigation is usually ultrasound, as this is the most easily available. Ultrasound may show dilation of the bile duct and identifies 38% of bile duct stones; it is relatively poor at identifying stones farther down the bile duct.

In the Western world, about 15% of all people have gallstones in their gallbladder but the majority are unaware of this and have no symptoms. Over ten years, 15–26% will suffer one or more episodes of biliary colic (abdominal pain due to the passage of gallstones through the bile duct into the digestive tract), and 2–3% will develop complications of obstruction: acute pancreatitis, cholecystitis or acute cholangitis. Prevalence of gallstone disease increases with age and body mass index (a marker of obesity). However, the risk is also increased in those who lose weight rapidly (e.g.

He returned to Classic Gold around 2000, where he presented at lunchtimes and early afternoons. He left the station when it merged with Capital Gold to form the new Gold network in August 2007. In 2003, he was regular guest presenter on a Networked show on a few stations The UK Top 20 Rewind along with Shaun Tilley. During that run, he had to have a gallstone operation, and was off for a period. In the last week of August 2007, Burnett was heard on Big L International 1395MW Sky0190 as a replacement for afternoon DJ Steve Garlick, who was on holiday.

In open cholecystectomy, a surgical incision of around 8 to 12 cm is made below the edge of the right rib cage and the gallbladder is removed through this large opening, typically using electrocautery. Open cholecystectomy is often done if difficulties arise during a laparascopic cholecystecomy, for example, the patient has unusual anatomy, the surgeon cannot see well enough through the camera, or the patient is found to have cancer. It can also be done if the patient has severe cholecystitis, emphysematous gallbladder, fistulization of gallbladder and gallstone ileus, cholangitis, cirrhosis or portal hypertension, and blood dyscrasias.

Hollywood producer Stanley Kramer tendered an offer to Lewton to work as an assistant producing a series of films at Columbia Studios. Lewton resigned at Universal and began preparation to work on the film My Six Convicts, but after suffering gallstone problems, he had the first of two heart attacks which weakened him so much that he died at Cedars-Sinai Medical Center in 1951 at the age of 46. The following year, Kirk Douglas appeared in The Bad and the Beautiful; his character was partly based on Lewton. A number of books and two documentaries on Lewton have been produced.

Initial management involves fluid resuscitation and potentially nasogastric suctioning. Since gallstone ileus constitutes a form of mechanical small bowel obstruction, it can be a surgical emergency and requires open or laparoscopic surgery to remove an impacted stone. The different strategies for surgical management are either enterolithotomy alone, allowing a delayed cholecystectomy after an inflammation-free period of 4–6 weeks (and therefore two-stage surgery) or enterolithotomy in combination with a cholecystectomy and fistula division (one-stage surgery). The different strategies for surgical management are controversial, and depend on factors such as patient fitness for surgery and comorbidities.

Treatment involves an operation called a choledocholithotomy, which is the removal of the gallstone from the bile duct using ERCP, although surgeons are now increasingly using laparoscopy with cholangiography. In this procedure, tiny incisions are made in the abdomen and then in the cystic duct that connects the gallbladder to the bile duct, and a thin tube is introduced to perform a cholangiography. If stones are identified, the surgeon inserts a tube with an inflatable balloon to widen the duct and the stones are usually removed using either a balloon or tiny basket. A laser can be used to split big stones and make it easier to solve it using laparoscopy.

Glucose signaling also induces CYP7A1 gene transcription by epigenetic regulation of the histone acetylation status. Glucose induction of bile acid synthesis have an important implication in metabolic control of glucose, lipid, and energy homeostasis under normal and diabetic conditions. CYP7A1-rs3808607 and APOE isoform are associated with the extent of reduction in circulating LDL cholesterol in response to PS(define PS, Plant Sterol?) consumption and could serve as potential predictive genetic markers to identify individuals who would derive maximum LDL cholesterol lowering with PS consumption. Genetic variations in CYP7A1 influence its expression and thus may affect the risk of gallstone disease and gallbladder cancer.

Members of the public paying their respects outside Mandela's Houghton home In February 2011, Mandela was briefly hospitalised with a respiratory infection, attracting international attention, before being re-admitted for a lung infection and gallstone removal in December 2012. After a successful medical procedure in early March 2013, his lung infection recurred and he was briefly hospitalised in Pretoria. In June 2013, his lung infection worsened and he was readmitted to a Pretoria hospital in serious condition. The Archbishop of Cape Town Thabo Makgoba visited Mandela at the hospital and prayed with Machel, while Zuma cancelled a trip to Mozambique to visit him the following day.

Biliary pain is most frequently caused by obstruction of the common bile duct or the cystic duct by a gallstone. However, the presence of gallstones is a frequent incidental finding and does not always necessitate treatment, in the absence of identifiable disease. Furthermore, biliary pain may be associated with functional disorders of the biliary tract, so called acalculous biliary pain (pain without stones), and can even be found in patients post-cholecystectomy (removal of the gallbladder), possibly as a consequence of dysfunction of the biliary tree and the sphincter of Oddi. Acute episodes of biliary pain may be induced or exacerbated by certain foods, most commonly those high in fat.

This involves the use of endoscopy (passing a tube through the mouth into the esophagus, stomach and thence to the duodenum) to pass a small cannula into the bile duct. At that point, radiocontrast is injected to opacify the duct, and X-rays are taken to get a visual impression of the biliary system. On the endoscopic image of the ampulla, one can sometimes see a protuberant ampulla from an impacted gallstone in the common bile duct or the frank extrusion of pus from the common bile duct orifice. On the X-ray images (known as cholangiograms), gallstones are visible as non- opacified areas in the contour of the duct.

Eric Clapton was one of the performers, with drummer Butch Trucks remarking that the performance was not the typical Allman Brothers experience, given the number and musical styles of the guests who were invited to perform. Songs like "In Memory of Elizabeth Reed" were punctuated with others, including "The Weight", with Levon Helm; Johnny Winter sitting in on Hendrix's "Red House"; and "Layla". On 2009 Clapton appeared at the Royal Albert Hall, playing "Further on Up the Road" with Joe Bonamassa. Clapton was scheduled to perform at the Rock and Roll Hall of Fame's 25th anniversary concert in Madison Square Garden on 2009, but cancelled due to gallstone surgery.

The first descriptions of gallstones appear to have been in the Renaissance, perhaps because of the low incidence of gallstones in earlier times owing to a diet with more cereals and vegetables and less meat. Anthonius Benevinius in 1506 was the first to draw a connection between symptoms and the presence of gallstones. Courvoisier, after examining a number of cases in 1890 that gave rise to the eponymous Courvoisier's law, stated that in an enlarged, nontender gallbladder, the cause of jaundice is unlikely to be gallstones. The first surgical removal of a gallstone (cholecystolithotomy) was in 1676 by physician Joenisius, who removed the stones from a spontaneously occurring biliary fistula.

In the absence of gallbladder disease, the gallbladder is visualized within 1 hour of the injection of the radioactive tracer. If the gallbladder is not visualized within 4 hours after the injection, this indicates either cholecystitis or cystic duct obstruction, such as by cholelithiasis (gallstone formation). This investigation is usually conducted after an ultrasonographic examination of the abdominal right upper quadrant for a patient presenting with abdominal pain. If the noninvasive ultrasound examination fails to demonstrate gallstones, or other obstruction to the gallbladder or biliary tree, in an attempt to establish a cause of right upper quadrant pain, a cholescintigraphic scan can be performed as a more sensitive and specific test.

She also has appalling personal hygiene, as remarked by Arnie. She is often known to aid Piers in his schemes, in return for a cut of the profits, including filming Stanley Dawkins's "pregnancy" (which turns out to be a 2oz gallstone) for a live television broadcast; selling homemade booze; and arranging a stripper for Piers' cousin's stag night. She later reveals that her nasty behaviour towards Piers is "one of two things that gets her out of bed". Piers often compares her to the Wicked Witch of the West from The Wizard of Oz and likens her to a female version of Hannibal Lecter.

Narrowed areas may be bridged by a stent, a hollow tube that keeps the duct open. Removable plastic stents are used in uncomplicated gallstone disease, while permanent self-expanding metal stents with a longer lifespan are used if the obstruction is due to pressure from a tumor such as pancreatic cancer. A nasobiliary drain may be left behind; this is a plastic tube that passes from the bile duct through the stomach and the nose and allows continuous drainage of bile into a receptible. It is similar to a nasogastric tube, but passes into the common bile duct directly, and allows for serial x-ray cholangiograms to be done to identify the improvement of the obstruction.

He has numerous scientific publications dating from 1960 to the present date (2014). His initial publications in 1960 characterized his future research: Exchange of iodine-131-labeled chylomicron protein in vitro in the American Journal of Physiology and the next (also a sole author publication) was in Nature on Micellar solubilization of fatty acids and monoglycerides by bile salt solutions. Since then he has published around 500 articles, including original research and many invited contributions and reviews. His most highly cited publications are on the liver bile salt export pump (over 800), the first description of gallstone dissolution by bile acid therapy (over 600), on the properties of bile salts (over 500), and the mechanisms whereby bile acids produce secretion in the colon (over 400).

The hardships and injuries that Wrangel suffered during his multiple campaigns, combined with unhealthy eating habits, led to Wrangel suffering from several acute and chronic illnesses for most of his life, most notably gout and gallstone. He was treated at several health resorts, including Spa in August 1651, Langenschwalbach in July 1662 and Pyrmont in the summer of 1668 but without ever completely recovering. In 1674, he broke down "like dead" from two strikes of hypervolemia, and his chronic diseases made it nearly impossible for him to fulfill the tasks of commanding the Swedish forces in the Scanian War. Shortly afterwards, on 25 June (OS) or 5 July (NS) 1676, Wrangel died in his Spyker Castle on Rügen, Swedish Pomerania (also spelled Spycker, now part of Glowe Municipality).

Edith Isabel Rodriguez (February 1, 1964 – May 9, 2007) was a woman who died of gastrointestinal perforation at the Martin Luther King Jr.-Harbor Hospital (King-Harbor) in unincorporated Los Angeles County, California, United States, after being refused treatment by hospital staff. Staff believed that her pain was due to a gallstone attack and thus did not believe she required urgent medical care. Rodriguez's situation became a cause célèbre about the failures and bureaucratic indifference of both King-Harbor as well as political and health leaders in the Los Angeles area, creating or reinforcing fears that the health care system will not take care of people in a time of dire need. The Rodriguez case resulted in press coverage on national news networks such as CNN and CBS News.

A new 4th generation progestin, drospirenone, used in some oral contraceptives may further heighten the risk of gallstone disease and cholecystectomy; however, the increased risk is quite modest and not likely to be clinically meaningful. A retrospective (historical) cohort study was performed on a very large data base including 1980 and 1981 Medicaid billing data from the states of Michigan and Minnesota in which 138,943 users of OCs were compared with 341,478 nonusers. Oral contraceptives were shown as risk factors for gallbladder disease, although the risk is of sufficient magnitude to be of potential clinical importance only in young women. The 1984 Royal College of General Practitioners' Oral Contraception Study suggests that, in the long-term, oral contraceptives are not associated with any increased risk of gallbladder disease, although there is an acceleration of the disease in those women susceptible to it.

Newton's grave in Westminster Abbey In the last few years of Newton's life he was troubled by urinary incontinence due to a gallstoneThe Mathematical Principles of Natural Philosophy, Volume 1, Issue 1, Page xlivScienceZine - Isaac Newton likely developed due to lack of sleep and poor nutritional habits. In January 1725 he was seized with violent cough and inflammation of the lungs which induced him to move to Kensington. In the next month he had a case of gout and then had an improvement of health. His duties from the mint were terminated and thus he seldom left home. On 28 February 1727 he went to London to preside at a meeting of the Royal Society but his health condition forced him to return to Kensington on 4 March when it was determined he had a gallstone.

Comey told the DOJ OIG that he met with Attorney General Ashcroft on March 4, 2004, to discuss the PSP and that Ashcroft agreed with Comey and the other DOJ officials' assessment of the potential legal problems with the PSP. Later that day, Ashcroft was struck with severe gallstone pancreatitis and was admitted to the George Washington University Hospital in Washington, D.C. Because of Ashcroft's disability, Comey took over as Acting Attorney General. Later on March 5, Gonzales called Goldsmith to request a letter from OLC stating that Yoo's prior OLC opinions "covered the program," meaning the PSP. Goldsmith, Philbin, and Comey re-examined Yoo's memoranda and concluded that Yoo's memoranda did not accurately describe some of the Other Intelligence Activities that were being conducted under the Presidential Authorizations implementing the PSP, and that the memoranda therefore did not provide a basis for finding that these activities were legal.

A teaser proclaims that all the characthers are fictionious and that anyone resembling them are better off dead. At the estate of King Herman the 6⅞ (Don Brodie) (a parody of Kaiser Wilhelm II), the deposed king of Moronica, war profiteers Ixnay (Vernon Dent), Amscray (Lynton Brent) and Umpchay (previously Onay, Bud Jamison) have decided that they have had enough of Moe Hailstone, the fascist dictator they put in power, and want to help Herman retake the throne. To this end, his daughter, the princess Gilda (Mary Ainslee, previously played by Lorna Gray under the Mattie Herring pseudonym), threatens to try and assassinate Hailstone using an explosive Number 13 pool ball strategically positioned in Hailstone's billiard table (the fictitious country of Moronica seems to be familiar with a pool game in which the 13 ball is placed at the head of the rack during set up). Dictator Moe Hailstone of Moronica enjoys a shave, and fights Field Marshal Herring (previously Gallstone) (Curly) and the Minister of Propaganda (previously called Pebble) (Larry) for a turkey (a parody of Hitler possibly wanting control in Turkey.

Their son Sebastian F. Braun assumed the CEO position at Cheplapharm. Over the years, Cheplapharm has acquired the rights to more than 80 branded pharmaceuticals and medical products from multinational and German pharmaceutical companies. Among them are large corporations like Merck, F. Hoffmann-La Roche, AstraZeneca, Sanofi, Boehringer Ingelheim and Johnson & Johnson as well as midsize businesses like Grünenthal, Klosterfrau or Riemser. Key acquisitions were those of Heminevrin/Distraneurin (a sedative used to treat acute alcohol withdrawal, from AstraZeneca, in 2010, Rohypnol (a hypnotic) and Vesanoid (a leukemia medication, both from F. Hoffmann-La Roche, in 2012), Deursil/Ursolvan (an anti-gallstone medication, from Sanofi in 2014), Dilatrend (a beta blocker), Xenical (an anti-obesity medication) and Anexate (a benzodiazepine antagonist, all three from F. Hoffmann-La Roche in 2016), Konakion and Cymevene (a vitamin K supplement and a virostatic, from F. Hoffmann-La Roche in 2018), Visudyne (a photosensitizer used for photodynamic therapy of the wet form of macular degeneration, from Novartis in 2018) and Sotacor/Sotalex (an antiarrhythmic, from Bristol-Myers Squibb in 2018).