Acute Cholecystitis Flashcards
1
Q
What is Acute Cholecystitis?
A
Inflammed Gallbladder
2
Q
Causes of Acute Cholecystitis
A
Gallstones in Neck of Gallbladder or Cystic Duct
3
Q
Present Acute Cholecystitis
A
Pain in RUQ to Right Shoulder
Fever
Nausea
Vomit
Tachy
Murphy Sign
Raised WBC, CRP
4
Q
What is murphy’s sign
A
place hand in ruq and apply pressure
tell patient breath in
stimulation of inflammed gallbldder = acute pain and stop of inspiration
5
Q
Diagnosis of Acute Cholecysitis
A
Abdo Ultrasound: thickened wall, stones/sludge, fluid around gallbladder
MRCP
6
Q
Treating Acute Cholecystitis
A
Nil by Mouth
IV Fluid
Antibiotics oral co-trimoxazole plus oral metronidazole
ERCP
Cholecystectomy
