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    A 61-year-old female presented with right upper quadrant pain and a positive Murphy's sign. She was assessed as having cholecystolithiasis or gallstones based on her symptoms. Differential diagnoses included cholecystitis given her pain and Murphy's sign, choledocholithiasis as her pain could be from gallstones in the common bile duct, and cholangitis though her presentation did not include signs of infection such as fever or jaundice.

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    Salient feature of CAP MR

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    A 61-year-old female presented with right upper quadrant pain and a positive Murphy's sign. She was assessed as having cholecystolithiasis or gallstones based on her symptoms. Differential diagnoses included cholecystitis given her pain and Murphy's sign, choledocholithiasis as her pain could be from gallstones in the common bile duct, and cholangitis though her presentation did not include signs of infection such as fever or jaundice.

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    © All Rights Reserved
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    10 views1 page

    Salient Features

    Uploaded by

    Ashley Dayag
    A 61-year-old female presented with right upper quadrant pain and a positive Murphy's sign. She was assessed as having cholecystolithiasis or gallstones based on her symptoms. Differential diagnoses included cholecystitis given her pain and Murphy's sign, choledocholithiasis as her pain could be from gallstones in the common bile duct, and cholangitis though her presentation did not include signs of infection such as fever or jaundice.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 1

    SALIENT FEATURES

     Patient’s age and gender (61, Female)


     (+) RUQ pain
     (+) Murphy’s sign

    IMPRESSION: Cholecystolithiasis
    DIFFERENTIAL DIAGNOSIS

    1. Cholecystitis – Inflammation of the gallbladder that occurs most


    commonly because of obstruction of the cystic duct by gallstones arising
    from the gallbladder.
    RULE IN RULE OUT
    (+) RUQ pain (-) fever

    (+) Murphy’s sign (-) Guarding


    (-) Nausea and Vomiting

    1. Choledocholithiasis – Gallstones in the Common Bile duct that may cause


    complete or incomplete obstruction.
    RULE IN RULE OUT
    (+) RUQ pain (-) jaundice
    Age and Gender (-) Nausea and Vomiting

    2. Cholangitis – Ascending bacterial infection in association with partial or


    complete obstruction of the bile ducts.
    RULE IN RULE OUT
    (+) RUQ pain (-) Charcot’s triad
    Age and Gender (-) Reynold’s pentad

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