Acute Cholecystitis Flashcards
1
Q
What are the common examination findings?
A
Obs - Signs of infection
RUQ pain
Murphys Sign
2
Q
What are the investigations?
A
To finish the exam i would like - to do a PR, check the groin for hernia and do urinalysis
By the bed - History and obs
Bloods - FBC, U/E, LFTs and albumin, amylase, cultures, group and save
Others - ABG, AXR, Erect CXR, US
3
Q
What are the key investigation findings?
A
Raised WCC
US shows inflammation
4
Q
What is the treatment?
A
Conservative - Explain what it is and put NBM
Medical - Fluids and analgesia
Surgical - Refer for surgical management
5
Q
What are the risk factors?
A
Gall stones
Fat
Female
Fair
Forty
Fertile
6
Q
What else can gall stones cause
A
Empyema
Mirrizzi
Ascending cholangitis
Pancreatitis
Gallstone ileus
