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
Species affected by poaching Western states. Commercial poachers kill grizzly bears, moose, bighorn sheep, elk, mountain lions, eagles and snakes. Domestic bear species such as American black bear are slaughtered for their body parts that are used for exotic foods, medicinal purposes and as aphrodisiacs. Walrus is poached for the ivory of their tusks, white-tailed deer for antlers and meat, bobcats for their pelts, and bighorn sheep as trophies. Elk antlers and seal penises are used for medicinal purposes. Paddlefish and sturgeon eggs are sold as caviar. Redfish, shellfish, trout and salmon are poached for meat, snakes for their skins, bald eagles for their