Symptomatic cholelithiasis
Revisión del 21:41 18 jul 2011 de Rossdonaldson1 (discusión | contribs.) (Created page with "===Diagnosis=== # History ## RUQ pain that is usually constant, not colicky ## Usually does not occur during fasting # Physical Exam ## Often benign; as compared to cholecystitis...")
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
