Gallbladder disease (main): Difference between revisions
m (moved Gallbladder Disease to Gallblader Disease (Main)) |
ClaireLewis (talk | contribs) No edit summary |
||
(29 intermediate revisions by 8 users not shown) | |||
Line 1: | Line 1: | ||
== | ==Background== | ||
{{Gallbladder disease types}} | |||
{{Gallbladder background}} | |||
== | ==Clinical Features== | ||
*[[RUQ pain]] | |||
*Additional features vary by pathology | |||
== | ==Differential Diagnosis== | ||
{{DDX RUQ}} | |||
=== | ==Evaluation== | ||
*CBC | |||
*Chemistry | |||
*[[LFTs]] | |||
*Lipase | |||
*PT/PTT | |||
*[[Biliary ultrasound]] | |||
==Management== | |||
*[[Analgesia]] PRN | |||
*Management varies per specific pathology | |||
==Disposition== | |||
*Dependant on pathologic process | |||
==See Also== | ==See Also== | ||
[[ | *[[Biliary ultrasound]] | ||
*[[Abdominal Pain]] | |||
==References== | |||
<references/> | |||
== | ==Video== | ||
{{#widget:YouTube|id=OfH7Y-llla4}} | |||
[[Category:GI]] | [[Category:GI]] | ||
[[Category:Surgery]] |
Revision as of 16:31, 28 October 2019
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
See Also
References
Video
{{#widget:YouTube|id=OfH7Y-llla4}}