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."