Acute Cholecystitis Flashcards
Acute inflammation of the gallbladder’s wall due to an ___ blockage (___/___)
outflow
cystic duct
neck
The most common cause for acute cholecystitis is ___. remember the 5 __
Lithiasis
F
Acute cholecystitis is characterized by the triad of:
fever
leukocytosis
RUQ pain (stable- not colic!)
What is the Boas’ sign?
pain radiation to the right subscapular area and shoulder
Other common symptoms for acute cholecystitis are: (3)
nausea
vomiting
sweating
Acute uncomplicated cholecystitis is a __-__ disease the disappear after - days
self limiting
7-10
Common signs of acute cholecystitis include: (3)
low fever (<38.5) elevated CRP elevated markers (AST/ALT/ALK-P/bilirubin)
Diagnosing acute cholecystitis includes ___ of the gallbladder, wall > __ mm, ___/biliary sludge.
thickening
5
lithiasis
The most sensitive imaging for acute cholecystitis is ___, followed by ___
US
HIDA
If the acute cholecystitis is __ we should perform ____
symptomatic
cholecystectomy
If the acute cholecystitis is asymptomatic we should perform cholecystectomy only if: (5)
HA (sickle cell disease) porcelain gallbladder stone>2.5 cm during bariatric surgery immunosuppressive
Before performing surgery we should ___ down the patient with: (4)
cool NPO (nothing by mouth) NGT (nasogastric tube) fluids Abx IV
After cooling down the patient, elective surgery should be performed after __ weeks
6
In ___ % AC is not due to stones but is related to severe ___
5-10
stasis
In acalculous cholecystitis there is a ___ mortality rate and the patients are usually very ___. Common complications include ___ and ___
high
sick
empyema
perforation
