Flashcards

Cholecystitis

Aaron Samide Gastrointestinal USMLE Step 2 Inglês 11 flashcards

Flashcards do conjunto (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

Descrição: USMLE Step 2 Gastrointestinal (3c Diseases of the Gallbladder & Biliary Tract) FlashCards sobre Cholecystitis, criado por Aaron Samide em 26-05-2016.
Criado por: Aaron Samide
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