Condition Info - BotMed Application

ConditionName

Cholecystitis / Cholelithiasis

ConditionDescription

Symptoms

Colicky pain (30 m – 6 h) after fatty meal or at night. 
Pain goes around the side to the back RUQ or between scapulars. Worse after fatty meal;
The pain of acute cholecystitis is similar to biliary colic (pain caused by gallstones) but is more severe and lasts longer;
Nausea / vomiting;
History of dark urine of light stool;
Indigestion;
Flatulence;

PhysicalFindings

Murphy sign (+) - sharp pain in cholecystitis; 
Kehr’s sign (diaphragm irritation causing shoulder pain);
Gall bladder is palpable; 
Tender RUQ;
FEVER in cholecystitis;

ClinicalTests

First test: US of GB: Gallstones; Classic acoustic shadowing is seen beneath the gallstones; Thicken GB wall; 

↑ WBC (leucocytes) in cholecystitis;
↑ bilirubin; ↑ ALP;

RiskFactors

Obesity;
Female;
Estrogen;
Pregnancy;
OCP;
Age - 40+;
Any kind of hemolysis; 
H.Pylori;
DM;
Dyslipidemia;

IsRedFlag

IsNPLEX

Consequence

Biliary colic;
Perforation;
Gall stone illuis;
Abscess;
Infection -->Gangrene; 
Necrosis;

ProgressionFromCondition

Clostridium def infection;
Gallstone obstruction cystic duct. Infection and inflammation behind obstruction;

TreatmentOptions

Hydration;

PharmOptions

Antibiotics;
Cholecystectomy;

WebLink

https://www.merckmanuals.com/professional/hepatic-and-biliary-disorders/gallbladder-and-bile-duct-disorders/cholelithiasis?query=Cholelithiasis