Symptomatic cholelithiasis

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Diagnosis

  1. History
    1. RUQ pain that is usually constant, not colicky
    2. Usually does not occur during fasting
  2. Physical Exam
    1. Often benign; as compared to cholecystitis, usually negative Murphy's Sign
  3. Labs
    1. LFT, CBC normal
  4. Ultrasound
    1. Sensitivity 84%, Specificity 99%

Treatment

  1. IV/IM Ketorolac (as effective as meperidine) with Rx for Ibuprofen

See Also

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