Gallbladder disease (main): Difference between revisions
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==Management== | |||
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==Disposition== | |||
*Dependant on pathologic process | |||
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[[Category:Surgery]] | [[Category:Surgery]] |
Latest revision as of 22:07, 27 March 2024
Background
Gallbladder disease types
- Symptomatic cholelithiasis (biliary colic)
- Choledocholithiasis
- Acute calculous cholecystitis
- Ascending cholangitis
- Acalculous cholecystitis
- Biliary atresia
- Cholestasis of pregnancy
Anatomy & Pathophysiology
- Gallstones are classified as cholesterol stones and pigmented stones (black and brown), and are present in approx 20% of females and 8% of males in the United States
- These stones cause the majority of all biliary tract problems, and depending on where the stone become impacted, specific problems occur.
- Bile flows out the gallbladder, down the cystic duct into the common bile duct, and ultimately into the 1st portion of the duodenum.
Clinical Features
- RUQ pain
- Additional features vary by pathology
Differential Diagnosis
RUQ Pain
- Gallbladder disease
- Pancreatitis
- Acute hepatitis
- Pancreatitis
- GERD
- Appendicitis (retrocecal)
- Pyogenic liver abscess
- Bowel obstruction
- Cirrhosis
- Budd-Chiari syndrome
- GU
- Other
- Hepatomegaly due to CHF
- Peptic ulcer disease with or without perforation
- Pneumonia
- Herpes zoster
- Myocardial ischemia
- Pulmonary embolism
- Abdominal aortic aneurysm
Evaluation
- CBC
- Chemistry
- LFTs
- Lipase
- PT/PTT
- Biliary ultrasound
Management
- Analgesia PRN
- Management varies per specific pathology
Disposition
- Dependant on pathologic process