Evaluation of Clinical Practice Guide

Evaluation of Clinical Practice Guide 1
Running Head: Evaluation of Clinical Practice Guide
Evaluation of Clinical Practice Guide

Evaluation of Clinical Practice Guide 2
Table of Contents
Introduction................................................................................................................................3
Description of Cholecystitis.......................................................................................................4
Practice guideline.......................................................................................................................7
Evaluation and learning points.................................................................................................10
References................................................................................................................................11

Evaluation of Clinical Practice Guide 3
Introduction
The report is developed with an aim to evaluate the clinical practice guideline for
Cholecystitis health problem. The report discusses the use of the guideline in the clinical
practice. The health problem is discussed in detail and the medical management is
recommended for it. The report discusses morbidity, mortality, pathophysiology, and
epidemiology in relation to Cholecystitis. The effectiveness of clinical practice guideline is
also discussed in the report.

Evaluation of Clinical Practice Guide 4
Description of Cholecystitis
The inflammation in the gallbladder which occurs due to lodging of gallstone at the
gallbladder opening is known as Cholecystitis. It can lead to pain, fever, nausea, and some
sever complications. The junction of gallbladder-cyst duct is obstructed with the gallstone
resulting in the inflammation and severe pain. Only in limited cases the inflammation occurs
without the formation of gallstones. Due to obstruction of common bile duct, diseases like
jaundice, biliary colic, and light colored stool can be caused. The pancreatic duct when
obstructed can produce pancreatitis, vomiting, nausea, and pain in the upper abdomen. The
major reason of cholecystitis is gallbladder sludge due to which gallstones are formed
(Brunicardi, et al., 2014).
The risk factors associated with cholecystitis include pregnancy, rapid weight loss, gallstones,
obesity, trauma or surgery, stickle cell anemia and parenteral alimentation for prolonged time
period. The patients of cholecystitis are usually ill-appearing, tachycardic and febrile.
Murphy’s sign also appears in the cholecystitis patients which mean that patient feels
inspiratory arrest along with deep palpation of upper right quadrant. The attack is followed by
meal containing high amount of fat in it within one to six hours. The cholecystitis patient
usually lies still due to the presence of peritoneal inflammation and it becomes worse with the
movement (Symins and Seller, 2017).
A differential diagnosis is a list of disorders which could be the possible cause of symptoms
that appears in the person. The list of differential diagnosis for cholecystitis includes peptic
ulcer disease, cardiac disease, pancreatitis, hepatitis, bowel obstruction, and appendicitis. The
intolerance of fatty food which produces excess accumulation of air in the esophagus after
few minutes of eating is not a typical disease of gallbladder.