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gallstones - Coggle Diagram

- - - - fat female forty and frtie
  - - - bile acids
        
        colicky abdominal pain
        
        radiates to shouder
        
        fatty foods
  - - - Rx:cholecystectomy
        
        elective
- - - - pericholecystic fluid
        
        inflamed and thick gallbladder wall
        
        constant RUQ pain
        
        mild fevr and WBC
        
        Diagnosis:RUQ USG
        
        HIDA
        
        stone
        
        NPO/IV Fluids/IV antibiotics
        
        cholecystectomy urgent
        
        cholecystostomy
- - - - Gallstones in CBD
        
        painful jaundice,murphy sign,infammation
        
        mild fever,WBCs
        
        RUQ USG
        
        obstruction
        
        MRCP
        
        Rx ERCP,NPO,Fluids,IV antibiotics
        
        1 more item...
- - - - gallstone-CBD
        
        Infection
        
        gut flora-anaerobes,GNR
        
        RUQ pain,painful jaundice,fever-Charcot's triad
        
        hypotension,altered mental status
        
        raynaud's pentad
        
        Diagnosis-USG
        
        CIPROFLOXACIN,METRONIDAZOE,AMPICILLIN,GENTAMICIN
        
        ERCP-Emergently
        
        cholecystectomy(urgently)
        
        IV fluids,iv antibiotics,IV NPO