Cholecystitis McCoy and colleagues. Blockage of the cystic duct by a gallstone causes a buildup of bile in the gallbladder and increased pressure within the gallbladder. Concentrated bile, pressure, and sometimes bacterial infection irritate and damage the gallbladder wall, causing inflammation and swelling of the gallbladder. Inflammation and swelling of the gallbladder can reduce normal blood flow to areas of the gallbladder, which can lead to cell death due to inadequate oxygen. The diagnosis of cholecystitis is suggested by the history (abdominal pain, nausea, vomiting, fever) and physical examinations in addition to laboratory and ultrasonographic testing. Boas's sign which is pain
Countries affected by the 2004 Indian Ocean earthquake and tsunami Countries affected by the 2004 Indian Ocean earthquake and tsunami This article lists the countries affected by the 2004 Indian Ocean earthquake and the resulting tsunami in alphabetical order – for detailed information about each country affected by the earthquake and tsunami, see their individual articles. Countries with a smaller number of casualties, as well as those that lost citizens who were travelling abroad, are listed further on in the article. 10,749 casualties were confirmed on 27 January 2008, most of them in the Indian state of Tamil Nadu. There were 5,640 people missing, nearly all of them on the