Cholysistitis - Complication of gallstones
Diagnosis
Management
Differential diagnosis
Sudden onset, severe right upper quadrant pain
90% of people with cholysistytis have gall stones
Nausea/vomiting - Common symptom of stone in the common bile duct
Postive Murphys sign
RUQ tenderness
RUQ mass - distended tender gall bladder.
Jaundice in 10% of people
Fever - Always think sepsis
Hospital admission to confirm diagnosis
Acute cholangitis
Presents with jaundice, fever, chills, abdominal pain
Acute Pancreatitis
Gastrointestinal cancer
Symptomatic gallstones
Abdominal ultrasound
Blood tests
IV fluids, ABX, analgesia
Assessment for cholesystecomy
Risk factors
Poor diet - low fibre
Obesity
Female
Increasing age
Diabetes
End stage renal disease
Peripheral vascular disease