Cholecystitis or scarring of the bile duct. The greatest risk factor for cholecystitis is gallstones. Risk factors for gallstones include female sex, increasing age, pregnancy, oral contraceptives, obesity, diabetes mellitus, ethnicity (Native North American), rapid weight loss. Gallstones blocking the flow of bile account for 90% of cases of cholecystitis (acute calculous cholecystitis). Blockage of bile flow leads to thickening and buildup of bile causing an enlarged, red, and tense gallbladder. The gallbladder is initially sterile but often becomes infected by bacteria, predominantly "E. coli", "Klebsiella", "Streptococcus", and "Clostridium" species. Inflammation can spread to the outer covering of the gallbladder and
Body part as an object distinguished by how they are carried out. For example, BPO mime gestures are differentiated by the insertion of a body part to help represent the object itself. Conversely, Imaginary object (IO) pantomimes occur when an individual mimes the use of an object as though the object were actually present. Using a similar example to above, an IO pantomime occurs as an individual pretends to brush their teeth by positioning the hand and fingers as though the toothbrush were actually in their hand: they are pretending the object is actually present. BPO, and BPO measures particularly, are notable in that they