Condition Info - BotMed Application

ConditionName

Biliary colic

ConditionDescription

Occurs when a gallstone becomes lodged in the cystic duct and the gallbladder contracts against the obstruction.

Symptoms

AB pain in RUQ that "comes and goes";
Postprandial or nocturnal pain;
Dark urine;
Pain may radiate to back, right scapula, right flank, or chest;
May have nausea and/or vomiting;
Pain begins 1-4 hours after eating or may awaken the patient during the night;
May be precipitated by fatty meals;

PhysicalFindings

Epigastric tenderness;
Abdominal distension and rebound tenderness are not common.

ClinicalTests

AB US;
Lipase; Liver panel; CBC; UA;

RiskFactors

Elderly patient;
Female > male;
Pregnancy;
North European descent;
Recent weight loss;
Obesity;
Liver transplant;
Crohn disease;
Hemolytic anemias;

IsRedFlag

IsNPLEX

Consequence

Pancreatitis, acute cholecystitis, or ascending cholangitis occur in 25% of patients.

ProgressionFromCondition

TreatmentOptions

PharmOptions

WebLink

https://www.ncbi.nlm.nih.gov/books/NBK430772/