MIRIZZI SYNDROME

1. CHIEF COMPLAINT •Mirizzi syndrome 2. HPI 3. ROS 4. SYMPTOMS •Episodic diarrhea •Right upper quadrant pain •Jaundice •Fever 5. HISTORY o FAMILY HISTORY o SOCIAL HISTORY o PASTMEDICAL HISTORY • Cholelithiasis • Chronic cholecystitis o o SURGICAL HISTORY CHRONIC CONDITIONS • Chronic cholecystitis

6. ALLERGIES 7. PHYSICAL EXAMINATION 8. SPECIFIC DATA LIKE GRADING ETC 9. TESTS TO BE ORDERED •CBP •Serum bilirubin •Liver function tests •X-ray abdomen •Ultrasonography •CT scan •Angiography •Magnetic Resonance Imaging (MRI) •Endoscopic Retrograde Cholangiopancreatography (ERCP)

•MRCP 10.ASSESSMENT /PLAN •Surgical removal of the gallbladder and reconstruction of the common bile duct and the hepatic duct. 11.EDUCATION 12.MEDICATION 13.FOLLOE-UP

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