Acute cholecystitis Flashcards
1
Q
What is meant by cholecystitis?
A
Inflammation of the gallbladder
2
Q
What causes cholesystitis?
A
Gallstones (95% of cases)
3
Q
Describe the clinical features of acute cholecystitis
A
- RUQ pain
- Fever
4
Q
What sign would you typically elicit on abdominal examination in a patient with acute cholecystitis?
A
Murphy’s sign
5
Q
What is the first line investigation to diagnose acute cholecystitis? What will this show?
A
USS, which may show:
- Thickened gallbladder wall
- Stones/sludge in gallbladder
- Fluid around the gallbladder
6
Q
Describe the management of acute cholecystitis
A
- NBM
- IV fluids
- Antibiotics as per local guidelines
- Cholecystectomy
