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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

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Cranial Nerve VI Palsy Emergency

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miércoles, 28 de junio de 2017

Biliary Colic Mimics

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eemDocs - Jun 27, 2017 - Author: Whitworth K - Edited by: Koyfman a & and B
"Take Home Points
  • It is difficult to distinguish between Cholelithiasis and Acute Cholecystitis by history and physical alone. Use an ultrasound!
  • Remember an ultrasound demonstrating gallstones with a positive “sonographic” Murphy’s sign is often enough to nail the diagnosis of Acute Cholecystitis.
  • The older the patient, the broader the differential. CT imaging may be more useful in select patients.
  • Don’t forget the lipase!
  • Fear the Fever! Consider Acute Cholecystitis or Cholangitis, but don’t forget about intraabdominal abscess or a right-sided pneumonia."