Gallbladder disease (main): Difference between revisions
(Text replacement - "==References== " to "==References== <references/> ") |
ClaireLewis (talk | contribs) No edit summary |
||
| (4 intermediate revisions by 2 users not shown) | |||
| Line 6: | Line 6: | ||
==Clinical Features== | ==Clinical Features== | ||
*[[RUQ pain]] | *[[RUQ pain]] | ||
*Additional features vary by pathology | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
| Line 13: | Line 14: | ||
*CBC | *CBC | ||
*Chemistry | *Chemistry | ||
*LFTs | *[[LFTs]] | ||
*Lipase | *Lipase | ||
*PT/PTT | *PT/PTT | ||
*[[Biliary ultrasound]] | *[[Biliary ultrasound]] | ||
==Management== | |||
*[[Analgesia]] PRN | |||
*Management varies per specific pathology | |||
==Disposition== | |||
*Dependant on pathologic process | |||
==See Also== | ==See Also== | ||
| Line 24: | Line 32: | ||
==References== | ==References== | ||
<references/> | <references/> | ||
==Video== | |||
{{#widget:YouTube|id=OfH7Y-llla4}} | |||
[[Category:GI]] | [[Category:GI]] | ||
[[Category:Surgery]] | [[Category:Surgery]] | ||
Revision as of 16:31, 28 October 2019
Background
Gallbladder disease types
.png)
- 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
See Also
References
Video
{{#widget:YouTube|id=OfH7Y-llla4}}