General Surgery - upper GI Flashcards
what is acute cholecystitis
inflammatory condition of gallbladder, typically precipitated by the obstruction of the cystic duct due to gallstones (cholelithiasis)
how do patients with acute cholecystitis present
RUQ pain
fever
nausea
vomiting
positive murphys sign
what may lab findings show in acute cholecystitis
leukocytosis and elevated CRP
how is acute cholecystitis diagnosed
US - gallbladder wall thickening and pericholecystic fluid collection
how is acute cholecystitis treated
supportive care - fluid resuscitation, analgesia and empirical antibiotic therapy
definitive - laparoscopic cholecystectomy
what are the potential complications of acute cholecystitis
gangrenous cholecystitis
emphysematous cholecystitis
perforation leading to peritonitis or abscess formation
