The definition of a primary diagnosis is the condition, after study, which required the admission to a hospital. This patient had a primary diagnosis of symptomatic gallbladder disease, which is caused by gallstones or cholelithiasis. Gallstones are deposits of hardened fluid within the gallbladder that can block the common bile duct. The gallbladder is a pear-shaped organ located under the liver. The main function of the gallbladder is concentrate and store bile, which is produced by the liver.
Some symptoms of symptomatic gallbladder disease include complaints of indigestion after eating food that contains high amounts of fat. Patients may complain of pain in the upper right quadrant that radiates around the middle of the torso to the right shoulder blade or scapular area. For acute onset, patients often complain of nausea, vomiting, and excess gas (flatulence). They may also have an increased heart rate, respirations, and sweat profusely (diaphoresis); in this case, the patient may believe they are having a myocardial infarction (heart attack). …show more content…
The patient may have steatorrhea or stools that contain fat, they may be clay colored due to the missing bile in the intestines. “The urine may be dark amber to tea colored and contain urobilinogen as the kidneys try to remove excess bilirubin from the blood stream.” (Cooper, 2015.)
A surgical procedure is defined as a medical procedure or process involving an incision caused by an instrument. Surgical procedures are used to repair damage in a living body. The steps in the procedure