Cholecystitis Flashcards
1
Q
define cholecystitis
A
inflammation of the gall bladder
2
Q
chole presentation
A
RUQ pain after eating
Fever
Guarding
Anorexia
Nausea
diarrhea
jaundice (Late)
+ Murphys
3
Q
Cholecystitis diagnostics + Labs
A
US ABD
MRCP (most specific and sensitive)
HIDA scan (higher accuracy)
LFT’s
4
Q
Etiology of cholecystitis
A
gallstones block cystic ducts causing build up of bile
5
Q
Asymptomatic cholecystitis
A
need no interventions
6
Q
medical management of cholecystitis
A
- bowel rest
- NPO
- isotonic fluid
- IV Zosyn/Ampicillin
- GI consult
- sx consult
gallstones <1 cm
- ursodeoxycholic acid (dissolves gallstones)
-shock wave lithotripsy
7
Q
Surgical management ONLY for
A
gallstones >2 cm in diameter
