| 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?
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Is individual pregnant? Has individual lost weight rapidly?
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Does individual use oral contraceptives?
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Does individual complain of steady pain or discomfort in the middle/upper abdomen?
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Does the pain spread from the abdomen to the back and shoulder area?
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Does individual report nausea, vomiting, or low fever?
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Do the symptoms tend to occur soon after meals and ease in intensity over a period of 2 to 3 minutes?
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Do the symptoms level off and persist for 20 minutes to an hour before beginning to subside?
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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?
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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?
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If a blockage of the cystic duct is suspected, was a hepatobiliary scan (HIDA) done?
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Was the diagnosis of cholecystitis confirmed?
Regarding treatment:
- If individual had mild symptoms, NSAIDs administered?
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Was any infection treated with antibiotics? Was individual compliant with the medication regimen?
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Was hospitalization required?
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Was surgery required?
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If surgery was necessary, was cholecystectomy done via a laparoscope, or was open surgery?
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Is individual following diet and alcohol restrictions?
Regarding prognosis:
- Was individual treated with medication or surgery?
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If treatment was with medication, has another episode of cholecystitis occurred?
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Has perforation of the gallbladder occurred?
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If treatment was surgical, have gallstones developed in the bile ducts (choledocholithiasis)?
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Did individual experience complications following surgery?
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How are complications being treated? What is expected outcome with treatment?
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Source: Medical Disability Advisor