Cholecystitis

Question 1

define cholecystitis

Answer 1

inflammation of the gall bladder

Question 2

chole presentation

Answer 2

RUQ pain after eating
Fever
Guarding
Anorexia
Nausea
diarrhea
jaundice (Late)
+ Murphys

Question 3

Cholecystitis diagnostics + Labs

Answer 3

US ABD
MRCP (most specific and sensitive)
HIDA scan (higher accuracy)

LFT’s

Question 4

Etiology of cholecystitis

Answer 4

gallstones block cystic ducts causing build up of bile

Question 5

Asymptomatic cholecystitis

Answer 5

need no interventions

Question 6

medical management of cholecystitis

Answer 6

• bowel rest
• NPO
• isotonic fluid
• IV Zosyn/Ampicillin
• GI consult
• sx consult

gallstones <1 cm
- ursodeoxycholic acid (dissolves gallstones)
-shock wave lithotripsy

Question 7

Surgical management ONLY for

Answer 7

gallstones >2 cm in diameter