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3 Cards in this Set
- Front
- Back
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Key factors for diagnosis |
- previous episode of biliary pain (high recurrence rate) - RUQ pain. Usually intense lasting >30 minutes. May move (epigastrium to LUQ to RUQ. Most often after fatty meal. - Positive Murphy's sign. - Abdominal mass - palpable in 30-40% cases. |
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Other diagnostic factors |
- Referred right shoulder pain - Anorexia - Nausea, especially with RUQ pain - Fever, suggests more complicated disease (abscess, perforation) - Vomiting, non-specific but often associated. - Jaundice, uncommon, ~10% cases. |
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Risk Factors |
Strong - gallstones - severe illness causing gallbladder dysmotility, gallbladder ischaemia and TPN. - TPN - causing gallbladder stasis, biliary sludge and decreased emptying Weak - physical inactivity - low fibre intake - trauma - severe burns - ceftriaxone - cyclosporin - hepatic arterial embolisation - infections |
