Cholecystitis Flashcards
1
Q
What is cholecystitis?
A
Inflammation f gallbladder
2
Q
What is the cause of cholecystitis?
A
90% secondary to gallstones
3
Q
What is acalculous cholecystitis?
A
Cholecystitis without gallstones
~10% cases
Poor prognosis
4
Q
What causes acalculous cholecystitis?
A
5%= bile inspissation due to dehydration 5%= bile stasis due to trauma or severe systemic illness
5
Q
What are the features of cholecystitis?
A
RUQ pain- may radiate to R shoulder Murphy's sign + Distended, tender gallbladder may be palpable Fever Anorexia and nausea PMH biliary colic/gallstones
6
Q
How is cholecystitis diagnosed?
A
Classic history
Bloods- elevated WCC, CRP
US
7
Q
What is the management of cholecystitis?
A
IV antibiotics
Early lap cholecystectomy
8
Q
Whatare th complications of cholecystitis?
A
Perforation
Supprative/gangrenous cholecystitis
