Gallbladder disease (main)

DDX

1. Acute Cholecystitis
2. Cholangitis
3. Symptomatic Cholelithiasis

Symptomatic Cholelithiasis

Diagnosis

1. History
   1. RUQ pain that is usually constant, not colicky
   2. Usually does not occur during fasting
2. Physical Exam
   1. Often benign; as compared to cholecystitis, usually negative Murphy's Sign
3. Labs
   1. LFT, CBC normal
4. Ultrasound
   1. Sensitivity 84%, Specificity 99%

Treatment

1. IV/IM Ketorolac (as effective as meperidine) with Rx for Ibuprofen

See Also

Ultrasound: Gallbladder

Source

UpToDate