Cholecystitis

Cholecystitis: Cystic duct obstr (spares liver so nl LFTs) w inflammation: fever, prolonged RUQ pain after fatty meal, nausea, vomiting, Murphy's sign, WBC↑, dx w ultrasound, HIDA scan


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  • Cholecystitis
  • Cystic duct obstr (spares liver so nl LFTs) w inflammation: fever, prolonged RUQ pain after fatty meal, nausea, vomiting, Murphy's sign, WBC↑, dx w ultrasound, HIDA scan
  • fever, prolonged RUQ pain (may radiate to back) after fatty meal, nausea, vomiting, belching, indigestion, risk = fat middle-aged Caucasian female
  • Murphy's sign (palp liver, breath out, breath in, hurts if tender gallbladder)
  • ultrasound (stones, gallbladder thickening), WBC↑, left shift, HIDA scan (gallbladder don't light up after IV injection)
  • cystic duct blockage w gallbladder inflammation