Gallbladder disease (main): Difference between revisions
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== | ==Background== | ||
{{Gallbladder disease types}} | |||
== | {{Gallbladder background}} | ||
==Clinical Features== | |||
*[[RUQ pain]] | |||
*Additional features vary by pathology | |||
==Differential Diagnosis== | |||
{{DDX RUQ}} | |||
==Evaluation== | |||
*CBC | |||
*Chemistry | |||
*[[LFTs]] | |||
*Lipase | |||
*PT/PTT | |||
*[[Biliary ultrasound]] | |||
==See Also== | ==See Also== | ||
*[[ | *[[Biliary ultrasound]] | ||
*[[Abdominal Pain]] | *[[Abdominal Pain]] | ||
== | ==References== | ||
<references/> | |||
==Video== | |||
{{#widget:YouTube|id=OfH7Y-llla4}} | |||
[[Category:GI]] | [[Category:GI]] | ||
[[Category:Surgery]] |
Revision as of 20:48, 29 September 2019
Background
Gallbladder disease types
- Symptomatic cholelithiasis (biliary colic)
- Choledocholithiasis
- Acute calculous cholecystitis
- Ascending cholangitis
- Acalculous cholecystitis
- Biliary atresia
- Cholestasis of pregnancy
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.
Clinical Features
- RUQ pain
- Additional features vary by pathology
Differential Diagnosis
RUQ Pain
- Gallbladder disease
- Pancreatitis
- Acute hepatitis
- Pancreatitis
- GERD
- Appendicitis (retrocecal)
- Pyogenic liver abscess
- Bowel obstruction
- Cirrhosis
- Budd-Chiari syndrome
- GU
- Other
- Hepatomegaly due to CHF
- Peptic ulcer disease with or without perforation
- Pneumonia
- Herpes zoster
- Myocardial ischemia
- Pulmonary embolism
- Abdominal aortic aneurysm
Evaluation
- CBC
- Chemistry
- LFTs
- Lipase
- PT/PTT
- Biliary ultrasound
See Also
References
Video
{{#widget:YouTube|id=OfH7Y-llla4}}