acute cholecystitis Flashcards
1
Q
what
A
inflammation of the gallbladder
caused by blockage of cystic duct preventing gallbladder from draining
2
Q
presentation
A
RUG, may radiate R shoulder fever n+v tachycardia tachypnoea murphy's sign raised CRP, WCC
3
Q
murphy’s sign
A
- pressure on RUQ
- pt deep breath in
- gallbladder will move down on inspiration and come in contact with hand
- stimulation of gallbladder results in acute pain and sudden stop inspiration
4
Q
first step imaging
A
abdo USS
5
Q
signs of acute cholecystitis on USS
A
- thickened gallbladder wall
- stone/sluge in gallbladder
- fluid around gallbladde
6
Q
Mx
A
emergency admission
NBM
IV fluids
antib
NG if needed for vomiting
ERCP
cholecytectomy
7
Q
complications
A
sepsis
gallbladder epyema
gengreous gallbladder
perforation
8
Q
gallbladder empyema
A
infected tissue and pus collecting in gallbladder
9
Q
gallbladder empyeme mx
A
IV antib and one of
- cholecystectomy
- cholecystotomy
