Gallbladder

Question 1

• Diagnose: biliary colic symptoms in the alert patient or with unexplained leukocytosis, sepsis, and jaundice in the critically ill patient.
• Treatment in unstable vs stable?

Answer 1

Acalculous cholecystitis

• Tx: bacterial cultures, intravenous antibiotics to cover gram-negative organisms +
• unstable: cholecystostomy tube placement
• stable: cholecystectomy

Question 2

when to use HIDAA scan?

- what would this show?

Answer 2

• when ultrasonography is equivocal

- shows nonopacification of the gallbladder in cases of cholecystitis