Acute Cholecystitis Flashcards

1
Q

Aetiologies?

A

Gallstones
Infection
Malignancy

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2
Q

Pathology?

A

Bile duct inflammation in response to gallstones, infection or malignancy

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3
Q

Signs and symptoms?

A

Acute onset, RUQ pain radiating to right scapula, fever, vomiting, peritonism, mass
RUQ mass, jaundice, Murphy’s sign

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4
Q

Investigations and findings?

A

FBC - leucocytosis
USS - enlargement of gall bladder
LFTS - increased ALP

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5
Q

Management?

A

Analgesia, Acid/base fluid balance

Removal of gallstones, treat other causes, Cholecystectomy

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6
Q

Complications?

A

Recurrence
Infection
Perforation

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