Gall bladder disease - diagnosis and management

Question 1

History
- Where is pain located and why?
- Aggravating factor?

Answer 1

RUQ, epigastric (unpaired midgut), radiation to right shoulder (phrenic nerve), interscapular region
Eating a fatty meal

Question 2

History
- Cholelithiasis?

Answer 2

Question 3

History
- Cholecystitis?

Answer 3

Question 4

History
- Cholangitis?
- Name of the triad and pentad?

Answer 4

Charcot’s triad
Reynold’s pentad

Question 5

Exam
- Cholelithiasis

Answer 5

Question 6

Exam
- Cholecystitis

Answer 6

Question 7

Exam
- Cholangitis

Answer 7

Question 8

Investigations: labs
- Cholelithiasis

Answer 8

Question 9

Investigations: labs
- Cholecystitis

Answer 9

Question 10

Investigations: labs
- Cholangitis

Answer 10

Question 11

Investigations: imaging
- Cholelithiasis

Answer 11

Question 12

Investigations: imaging
- Cholecystitis

Answer 12

Question 13

Investigations: imaging
- Cholangitis

Answer 13

Question 14

Initial management
- Cholelithiasis

Answer 14

Question 15

Initial management
- Cholecystitis

Answer 15

Question 16

Initial management
- Cholangitis

Answer 16

Question 17

Procedures
- Cholelithiasis + choledocolithiasis

Answer 17

Question 18

Procedures: cholecystitis
- What are the 2 procedures available?

Answer 18

Laparoscopic cholecystectomy
Percutaneous cholecystostomy

Question 19

Procedures: cholecystitis

Answer 19

Question 20

Procedures: cholangitis

Answer 20