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  • Cholecystitis and Biliary Co

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    Vaibhav Karoliya
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    This document discusses cholecystitis and biliary colic. It notes that gallstones are a common cause of biliary problems, especially in overweight middle-aged women. There are three main types of gallstones. Cholecystitis occurs when bacteria infect the gallbladder and cause inflammation. Clinical features include right upper quadrant pain, tenderness, and referred pain to the right shoulder or back that can be triggered by fatty foods. Diagnosis involves blood tests, imaging like ultrasound and CT scans. Treatment focuses on IV fluids, pain medication, antibiotics if needed, and surgical consultation.

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    This document discusses cholecystitis and biliary colic. It notes that gallstones are a common cause of biliary problems, especially in overweight middle-aged women. There are three main types of gallstones. Cholecystitis occurs when bacteria infect the gallbladder and cause inflammation. Clinical features include right upper quadrant pain, tenderness, and referred pain to the right shoulder or back that can be triggered by fatty foods. Diagnosis involves blood tests, imaging like ultrasound and CT scans. Treatment focuses on IV fluids, pain medication, antibiotics if needed, and surgical consultation.

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    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
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    4 views7 pages

    Cholecystitis and Biliary Co

    Uploaded by

    Vaibhav Karoliya
    This document discusses cholecystitis and biliary colic. It notes that gallstones are a common cause of biliary problems, especially in overweight middle-aged women. There are three main types of gallstones. Cholecystitis occurs when bacteria infect the gallbladder and cause inflammation. Clinical features include right upper quadrant pain, tenderness, and referred pain to the right shoulder or back that can be triggered by fatty foods. Diagnosis involves blood tests, imaging like ultrasound and CT scans. Treatment focuses on IV fluids, pain medication, antibiotics if needed, and surgical consultation.

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    © All Rights Reserved
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    of 7

    Cholecystitis and Biliary

    Colic
    Matthew Turner
    Epidemiology
    Usual patient, FFF (female, fat,
    forty)
    Gallstones cause 4 biliary tract
    problemes
    Biliary colic
    Cholecystitis
    Gallsonte pancreatitis
    Ascending cholangitis
    Pathophysiology
    3 types of gallstones
    70% cholesterol stones
    20% pigment stones
    10% mixed
    Bacteria
    pathogens present in 50-
    80% of cases
    Most common E.coli and Klebsiella (70%)
    Clinical Features
    RUQ pain/tenderness
    Murphys sign
    Referred pain to right shoulder or
    left upper back
    Can be associated with meals for
    fatty foods
    Clinical Features
    Ascending cholangitis
    Charotstriad: fever, jaundice, RUQ pain
    However only found in 25% of the pts
    Mortality reaches 100% if not tx
    DX
    Labs: WBC, BMP, AST/ALT/Alk Phos,
    Bilirubin, UA with preg
    XR: AAS
    US
    CT of Abd and plevis to detect other
    intra-abdominal problems
    TX
    IVF if pt is in shock
    Antiemtics
    Pain meds: Meperidine causes less
    sphincter of Oddi spasms or Morphine
    ABX for cholecystitis or cholangitis
    Surgical consult

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