TERMS: Cholezystitus

[Guest guest]

Greetings from Sydney

From a medical report on a patient with cholecystitus I have the following

queries:

1. " ..... war der Ductus choledochus sonographisch nicht erweitert darstellbar

"

Does this mean that the sonography did not show the common bile duct to be

extended?

2. " g-GT 378 U/l, Referenz < 55 U/l, ... "

a) I found 'g-Glutamyltransferase' on the Internet but does the 'g' stand for

'gamma' ?

I take 'Referenz' to be 'reference' but what it is actually? It comes up

several times in the lab tests.

3. " histologisch zeigte sich im Präparat eine herdförmig ulcerierende,

chronische und aktive, .... "

I have 'the histological preparation showed a focally ulcerating, chonic and

active.... " but 'focally ulcerating' sounds clumbsy to me. Is there a better

way of saying this?

4. und bitten um Entfernung des Fadenmaterials am 8. bis 10. postoperativen Tag

Is 'Fadenmaterial' the 'ligature material' ?

your comments appreciated

regards,

Shane London

[Guest guest]

Hi Astrid

Thanks for that. Sounds good to me.

regards,

Shane

AW: TERMS: Cholezystitus

Hi Shane,

...to be extended " is OK

g-GT (g should be the lower case greek letter) stands for Gamma-GT; Referenz

= reference value (i.e. normal value)

chronic and active focal ulcer

sutures (or suture material if you wish)

HTH

Astrid

[Guest guest]

Hi Shane and Astrid

sounds good to me too!

have a nice weekend

Isabelle

> Hi Astrid

> Thanks for that. Sounds good to me.

>

> regards,

>

> Shane

> AW: TERMS: Cholezystitus

>

>

> Hi Shane,

>

> ...to be extended " is OK

>

> g-GT (g should be the lower case greek letter) stands for Gamma-GT;

> Referenz

> = reference value (i.e. normal value)

>

> chronic and active focal ulcer

>

> sutures (or suture material if you wish)

>

> HTH

> Astrid

>

>

>

>

[Guest guest]

Hi Shane :-)

yes, dilated is the right term.

I am not so sure that " nicht " refers to " wandverdickt " as well - in that

case I would expect to read " bei nicht hydroptischer, *nicht*

wandverdickter Gallenblase " .

Dorland has (among other forms):

- cholecystitis, acute - usually due to obstruction [--->

Gallenblasen-Konkremete -biliary calculus] of the gallbladder with signs

ranging from mild edema [---> hyhydroptisch - hydropic, edematous] and

congestion to severe infection with gangrene and perforation.

- cholecystitis, glandularis proliferans - a thickening of the wall of the

chronically inflamed gallbladder with formation of crypts which may develop

into cysts.

Not having a medical background, I think your text indicates that the

sonograph shows not the acute form with edema [hydroptisch] but the more

severe form with thickening of the wall.

HTH. Ursula

----- Original Message -----

Hello Bob and Astrid

Thanks for your comments. I have a found a few internet articles talking

about 'dilated bile ducts' so doubtless that is the right term for

'erweitert'. I am still uncertain about " Hier (im Sonograf) fanden

sich multiple Gallenblasen-Konkremente bei nicht hydroptischer,

wandverdickter Gallenblase " However, I get the feeling you are right and

the 'nicht' refers to 'wandverdickter' as well.

This isn't due till 15 August so I have a few days to think about it.

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[Guest guest]

Shane,

I think wall should be in the singular (not walls).

[Guest guest]

Hello, and Ursula and others

Thanks for your comments. I have been doing some reading of articles on the

Internet and it looks like acute and chronic cholecystitus means there will be a

thickening of the walls of the gall bladder up to 2-3 times. I have also looked

at some colour photos of gallstones. They are horrible looking things.

Ok, I will say then that 'the sonograph showed multiple gall bladder concretions

with a non-hydropic gall bladder with thickened walls' or even use 's

words below. That's what I had originally but I had some doubts about it.

thanking you

regards,

Shane London

Re: TERMS: Cholezystitus

It means that there was no hydrops of the gallbladder, and the walls of the

gallbladder were thickened. " Nicht " is only related to " hydroptisch " .