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Generally good with treatment [ 4 ] Cholecystitis is inflammation of the gallbladder. [ 8 ] Symptoms include right upper abdominal pain, pain in the right shoulder, nausea, vomiting, and occasionally fever. [ 1 ] Often gallbladder attacks (biliary colic) precede acute cholecystitis. [ 1 ] The pain lasts longer in cholecystitis than in a typical ...
Postcholecystectomy syndrome (PCS) describes the presence of abdominal symptoms after a cholecystectomy (gallbladder removal). Symptoms occur in about 5 to 40 percent of patients who undergo cholecystectomy, [1] and can be transient, persistent or lifelong. [2][3] The chronic condition is diagnosed in approximately 10% of postcholecystectomy cases.
In medicine, Murphy's sign (also known as Sweeney’s sign) is a maneuver during a physical examination as part of the abdominal examination. [1] It is useful for differentiating pain in the right upper quadrant. Typically, it is positive in cholecystitis, but negative in choledocholithiasis, pyelonephritis, and ascending cholangitis.
A gallstone is a stone formed within the gallbladder from precipitated bile components. [2] The term cholelithiasis may refer to the presence of gallstones or to any disease caused by gallstones, [5] and choledocholithiasis refers to the presence of migrated gallstones within bile ducts. Most people with gallstones (about 80%) are asymptomatic ...
Patients usually have normal vital signs with biliary colic, whereas patients with cholecystitis are usually febrile and more ill appearing. Lab studies that should be ordered include a complete blood count, liver function tests and lipase. In biliary colic, lab findings are usually within normal limits.
Physical examination findings typically include jaundice and right upper quadrant tenderness. [1] Charcot's triad is a set of three common findings in cholangitis: abdominal pain, jaundice, and fever. [4] This was assumed in the past to be present in 50–70% of cases, although more recently the frequency has been reported as 15–20%. [1]
Murphy's sign is commonly negative on physical examination in choledocholithiasis, helping to distinguish it from cholecystitis. Jaundice of the skin or eyes is an important physical finding in biliary obstruction. Jaundice and/or clay-colored stool may raise suspicion of choledocholithiasis or even gallstone pancreatitis. [1]
Gallbladder diseases are diseases involving the gallbladder and is closely linked to biliary disease, with the most common cause being gallstones (cholelithiasis). [1] [2]The gallbladder is designed to aid in the digestion of fats by concentrating and storing the bile made in the liver and transferring it through the biliary tract to the digestive system through bile ducts that connect the ...