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#[[Acute Cholecystitis]]  
#[[Acute Cholecystitis]]  
#[[Cholangitis]]
#[[Cholangitis]]
#Symptomatic Cholelithiasis
#[[Symptomatic Cholelithiasis]]
 
==Symptomatic Cholelithiasis==
===Diagnosis===
# History
## RUQ pain that is usually constant, not colicky
## Usually does not occur during fasting
# Physical Exam
## Often benign; as compared to cholecystitis, usually negative Murphy's Sign
# Labs
## LFT, CBC normal
# Ultrasound
## Sensitivity 84%, Specificity 99%
 
===Treatment===
# IV/IM Ketorolac (as effective as meperidine) with Rx for Ibuprofen


==See Also==
==See Also==

Revisión del 21:41 18 jul 2011

DDX

  1. Acute Cholecystitis
  2. Cholangitis
  3. Symptomatic Cholelithiasis

See Also

Ultrasound: Gallbladder

Source

UpToDate

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