Gallbladder disease (main): Difference between revisions
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==DDX==
<languages/>
#[[Acute Cholecystitis]]
<translate>
#[[Cholangitis]]
#Symptomatic Cholelithiasis


==Symptomatic Cholelithiasis==
==Background==
===Diagnosis===
 
# History
</translate>
## RUQ pain that is usually constant, not colicky
{{Gallbladder disease types}}
## Usually does not occur during fasting
<translate>
# Physical Exam
 
## Often benign; as compared to cholecystitis, usually negative Murphy's Sign
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# Labs
{{Gallbladder background}}
## LFT, CBC normal
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# Ultrasound
 
## Sensitivity 84%, Specificity 99%
 
==Clinical Features==
 
*[[Special:MyLanguage/RUQ pain|RUQ pain]]
*Additional features vary by pathology
 
 
==Differential Diagnosis==
 
</translate>
{{DDX RUQ}}
<translate>
 
 
==Evaluation==
 
*CBC
*Chemistry
*[[Special:MyLanguage/LFTs|LFTs]]
*Lipase
*PT/PTT
*[[Special:MyLanguage/Biliary ultrasound|Biliary ultrasound]]
 
 
==Management==
 
*[[Special:MyLanguage/Analgesia|Analgesia]] PRN
*Management varies per specific pathology
 
 
==Disposition==
 
*Dependant on pathologic process


===Treatment===
# IV/IM Ketorolac (as effective as meperidine) with Rx for Ibuprofen


==See Also==
==See Also==
[[Ultrasound: Gallbladder]]


==Source==
*[[Special:MyLanguage/Biliary ultrasound|Biliary ultrasound]]
UpToDate
*[[Special:MyLanguage/Abdominal Pain|Abdominal Pain]]
 
 
==References==
 
<references/>


[[Category:GI]]
[[Category:GI]]
[[Category:Surgery]]
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Latest revision as of 22:55, 4 January 2026


Background

Gallbladder disease types

Gallbladder anatomy (overview).
Gallbladder anatomy
Bile duct and pancreas anatomy. 1. Bile ducts: 2. Intrahepatic bile ducts; 3. Left and right hepatic ducts; 4. Common hepatic duct; 5. Cystic duct; 6. Common bile duct; 7. Sphincter of Oddi; 8. Major duodenal papilla; 9. Gallbladder; 10-11. Right and left lobes of liver; 12. Spleen; 13. Esophagus; 14. Stomach; 15. Pancreas: 16. Accessory pancreatic duct; 17. Pancreatic duct; 18. Small intestine; 19. Duodenum; 20. Jejunum; 21-22: Right and left kidneys.


<translate>

Anatomy & Pathophysiology

  • Gallstones are classified as cholesterol stones and pigmented stones (black and brown), and are present in approx 20% of females and 8% of males in the United States
  • These stones cause the majority of all biliary tract problems, and depending on where the stone become impacted, specific problems occur.
  • Bile flows out the gallbladder, down the cystic duct into the common bile duct, and ultimately into the 1st portion of the duodenum.

</translate>


Clinical Features

  • RUQ pain
  • Additional features vary by pathology


Differential Diagnosis

RUQ Pain


Evaluation


Management

  • Analgesia PRN
  • Management varies per specific pathology


Disposition

  • Dependant on pathologic process


See Also


References

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