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65 yrs old male with right upper quadrant discomfort. Ultrasound shows dilated gallbladder with Curvilinear gas shadowing. which of the following is most like cause of this condition in this pt.

1.Intestinal pathogens (clostridium, E.coli etc)
2.Hemolytics anemia,
3.Cholestrolemia (due to high fat diet)
4.Choestrolemia (due to non fat diet)
5.congenital
6.Pancreatic cancer.

what is the dx ?

1? ascending cholangiatis

66?

1. emphysematous cholecystitis

you got it psych

Emphysematous Cholecystitis is a form of Acute Cholecystitis that arise due to infection of gall bladder wall with gas forming bacteria (Clostridium, E.coli,
staph, strep, pseudomonas, klebsiella) --- Typically occur in male age 50 - 70 sp diabetic. DX -- U/S shows curvilinear gas shadowing in the gall bladder.
TX -- Immediate fluid & Electrolyte resuscitation, early cholecystectomy and IV Antibiotics (Ampicillin salbactum + Pipracillin tazobactum or Aminoglycoside
or Quinilone + clindamycin or metronidazole)