acute cholecystitis Flashcards
1
Q
acute cholecystitis
A
inflammation of the gallbladder
2
Q
causes
A
blockage of cystic duct
gallstones
3
Q
presentation
A
RUQ pain that may radiate to shoulder fever nausea vomiting tachycardia murphy's sign
4
Q
first step
A
abdominal US - thickened gallbladder wall - stones of sludge in gallbladder - fluid around the gallbladder then do MRCP
5
Q
management
A
conservative: nil by mouth, IV fluids, antibiotics, NG tube
ERCP- to remove stones trapped in the common bile duct
cholecystectomy
6
Q
complication
A
sepsis
gallbladder empyema
gangrenous gallbladder
perforation
