Flashcards
Cholecystitis
Cards in this deck (11)
- 1Acute cholecystitis is inflammation of the gallbladder wall caused by ________, NOT _________.Caused by obstruction of the cystic duct, NOT infection
- 2Murphy signInspiratory arrest during deep palpation of the RUQ
Not really present in many cases of acute cholecystitis - 3Test of choice for acute cholecystitisRUQ ultrasound
- 4Ultrasound findings indicated acute cholecystitis (4)- Thickened gallbladder wall
- Pericholecystic fluid
- Distended gallbladder
- Stones - 5Next test for acute cholecystitis when ultrasound is inconclusiveHIDA (hepatoiminodiacetic acid) scan
(radionucleotide scan) - 6What is a "positive" HIDA scan?Gallbladder NOT visualized
If not visualized 4 hours after injection, diagnosis of acute cholecystitis is confirmed - 7T/F: A normal HIDA scan essentially rules out acute cholecystitis.True
- 8Treatment of acute cholecystitis- Hospital admission
- Hydration with IVF; bowel rest; analgesics; electrolyte corrections
- Bowel rest (NPO)
- Cholecystectomy in most symptomatic patients, preferably within 24-48 hours - 9With nonsurgical treatment, what is the recurrence rate of acute cholecystitis?Up to 70%
- 10Acalculous cholecystitis is seen in which patients?Those with severe underlying illnesses
- 11Treatment of acalculous cholecystitisEmergent cholecystectomy
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- USMLE Step 2 Gastrointestinal (3c Diseases of the Gallbladder & Biliary Tract) Flashcards on Cholecystitis, created by Aaron Samide on 26/05/2016.
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- Aaron Samide
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