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Medical Disability Advisor  >  Cholecystitis  >  Failure To Recover

Cholecystitis


Related Terms


  • Acalculous Cholecystitis
  • Acute Cholecystitis
  • Inflammation of the Gallbladder

Specialists


  • Gastroenterologist
  • General Surgeon

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Factors Influencing Duration


The duration of recovery is affected by the severity of the individual's symptoms, the presence of infection, or other complications, and whether surgery is required. If surgery is required, the method (laparoscopic or open) of surgery, presence of surgical complications, and the individual's ability to heal also will affect the duration of recovery. If surgery is not required, recovery may vary, depending on the individual's response to any prescribed medication (e.g., non-steroidal anti-inflammatory drugs [NSAIDs], antibiotics).

Duration Trends from Reference Data


DURATION TRENDS
 ICD-9-CM: 574.01, 575.0, 575.1, 575.11, 575.12  
CasesMeanMinMaxNo Lost TimeOver 6 Months
5694250940.1%0%
 
  
 
Percentile:5th25thMedian75th95th
Days:915213153
 
  
 

Differences may exist between the duration tables and the reference graphs. Duration tables provide expected recovery periods based on the type of work performed by the individual. The reference graphs reflect the actual experience of many individuals across the spectrum of physical conditions, in a variety of industries, and with varying levels of case management. Selected graphs combine multiple codes based on similar means and medians.

Medical Codes


ICD-9-CM:
574.01 - Calculus of Gallbladder with Acute Cholecystitis, with Obstruction
575.0 - Cholecystitis, Acute; Abscess of Gallbladder, without Mention of Calculus; Angiocholecystitis without Mention of Calculus, Empyema or Gangrene of Gallbladder without Mention of Calculus
575.1 - Cholecystitis, Other Chronic without Mention of Calculus
575.10 - Cholecystitis, Unspecified
575.11 - Chronic Cholecystitis
575.12 - Acute and Chronic Cholecystitis
575.2 - Obstruction of Gallbladder; Occlusion, Stenosis or Stricture of Cystic Duct or Gallbladder without Mention of Calculus
575.4 - Perforation of Gallbladder; Rupture of Cystic Duct or Gallbladder
575.8 - Disorders of Gallbladder, Other Specified; Adhesions, Atrophy (of), Cyst (of), Hypertrophy (of) or Ulcer (of) Cystic Duct Gallbladder; Biliary Dyskinesia

Failure to Recover


If an individual fails to recover within the expected maximum duration period, the reader may wish to consider the following questions to better understand the specifics of an individual's medical case.

Regarding diagnosis:

  • Does individual have a history of multiple trauma, Salmonella poisoning, sepsis, or cardiac surgery? Obesity, diabetes, or chronic alcohol use?
  • Is individual pregnant? Has individual lost weight rapidly?
  • Does individual use oral contraceptives?
  • Does individual complain of steady pain or discomfort in the middle/upper abdomen?
  • Does the pain spread from the abdomen to the back and shoulder area?
  • Does individual report nausea, vomiting, or low fever?
  • Do the symptoms tend to occur soon after meals and ease in intensity over a period of 2 to 3 minutes?
  • Do the symptoms level off and persist for 20 minutes to an hour before beginning to subside?
  • Were blood tests done to evaluate liver function and check for signs of inflammation and/or infection? Was transabdominal ultrasound done to determine the presence of gallstones?
  • Was an x-ray or a CT scan done to help the physician confirm the diagnosis and rule out other conditions such as gallbladder cancer?
  • If a blockage of the cystic duct is suspected, was a hepatobiliary scan (HIDA) done?
  • Was the diagnosis of cholecystitis confirmed?

Regarding treatment:

  • If individual had mild symptoms, NSAIDs administered?
  • Was any infection treated with antibiotics? Was individual compliant with the medication regimen?
  • Was hospitalization required?
  • Was surgery required?
  • If surgery was necessary, was cholecystectomy done via a laparoscope, or was open surgery?
  • Is individual following diet and alcohol restrictions?

Regarding prognosis:

  • Was individual treated with medication or surgery?
  • If treatment was with medication, has another episode of cholecystitis occurred?
  • Has perforation of the gallbladder occurred?
  • If treatment was surgical, have gallstones developed in the bile ducts (choledocholithiasis)?
  • Did individual experience complications following surgery?
  • How are complications being treated? What is expected outcome with treatment?

Source: Medical Disability Advisor






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