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Cholecystitis (Diagnosis (Investigations (Bedside Fever, Bloods FBC…

- - - - Character
        Colicky
      - Radiation
        R shoulder
      - Onset
        Sudden, insidious
      - Associated symptoms
        Fever
        N+V
      - Site
        RUQ/epigastric
      - Timing
        Intermittent
      - Exacerbating/relieving factors
        Exacerbating - heavy meal
        Relieving - not eating
      - Severity
  - - - As above but more
        vague and less severe
- - - - Medical
        IV fluids
        Analgesia
        Abx (e.g. cefotaxime)
      - Surgical
        
        Laparoscopic cholecstectomy
        Indication: all patients <48h no perforation
        
        Open surgery
        Indication: gallbladder perforation
      - Conservative
        NBM
    - - Surgical
        
        Laparoscopic cholecystectomy
        May also need ERCP + sphincterotomy