Cholecystitis

Question 1

What is cholecystitis?

Answer 1

Inflammation of the gallbladder. It can be due to stones that block the tubes

Question 2

What are symptoms of cholecystitis?

Answer 2

Severe pain in right upper quadrant (RUQ) or epigastric pain
vomiting
nausea
usually pain occurs one hour after eating a fatty meal
radiating to the shoulder

Question 3

What is the diagnostic test for cholecystitis?

Answer 3

Ultrasound ( to look for gallstones)

Question 4

What is the treatment for cholecystitis?

Answer 4

Removal or antibiotics

Question 5

If there are no gallstones, but you still think the patient has cholecystitis. What do you do?

Answer 5

Order a HIDA scan! You must still do a CT prior because gallstones cannot be present during a HIDA scan

Question 6

What is murphys sign?

Answer 6

Palpate into subcostal area of right upper quadrant (RUQ) and have patient take a deep breath, and if pain occurs on inspiration and they are positive for cholecystitis.

Question 7

Where does cholecystitis occur, what quadrant?

Answer 7

RUQ