Acute cholecystitis physical examination: Difference between revisions
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*[[Rebound tenderness]]<ref name="pmid18579815">{{cite journal |vauthors=Strasberg SM |title=Clinical practice. Acute calculous cholecystitis |journal=N. Engl. J. Med. |volume=358 |issue=26 |pages=2804–11 |year=2008 |pmid=18579815 |doi=10.1056/NEJMcp0800929 |url=}}</ref> | *[[Rebound tenderness]]<ref name="pmid18579815">{{cite journal |vauthors=Strasberg SM |title=Clinical practice. Acute calculous cholecystitis |journal=N. Engl. J. Med. |volume=358 |issue=26 |pages=2804–11 |year=2008 |pmid=18579815 |doi=10.1056/NEJMcp0800929 |url=}}</ref> | ||
*A palpablemgall bladder,positive Courvoisier's sign.<ref name="pmid19190960">{{cite journal |vauthors=Fitzgerald JE, White MJ, Lobo DN |title=Courvoisier's gallbladder: law or sign? |journal=World J Surg |volume=33 |issue=4 |pages=886–91 |year=2009 |pmid=19190960 |doi=10.1007/s00268-008-9908-y |url=}}</ref> | *A palpablemgall bladder,positive Courvoisier's sign.<ref name="pmid19190960">{{cite journal |vauthors=Fitzgerald JE, White MJ, Lobo DN |title=Courvoisier's gallbladder: law or sign? |journal=World J Surg |volume=33 |issue=4 |pages=886–91 |year=2009 |pmid=19190960 |doi=10.1007/s00268-008-9908-y |url=}}</ref> | ||
*Voluntary and involuntary guarding may be present. | *Voluntary and involuntary guarding may be present.<ref name="pmid26615166">{{cite journal |vauthors=Katabathina VS, Zafar AM, Suri R |title=Clinical Presentation, Imaging, and Management of Acute Cholecystitis |journal=Tech Vasc Interv Radiol |volume=18 |issue=4 |pages=256–65 |year=2015 |pmid=26615166 |doi=10.1053/j.tvir.2015.07.009 |url=}}</ref> | ||
*Murphy test positive.<ref name="pmid27862628">{{cite journal |vauthors=Jain A, Mehta N, Secko M, Schechter J, Papanagnou D, Pandya S, Sinert R |title=History, Physical Examination, Laboratory Testing, and Emergency Department Ultrasonography for the Diagnosis of Acute Cholecystitis |journal=Acad Emerg Med |volume=24 |issue=3 |pages=281–297 |year=2017 |pmid=27862628 |doi=10.1111/acem.13132 |url=}}</ref> | *Murphy test positive.<ref name="pmid27862628">{{cite journal |vauthors=Jain A, Mehta N, Secko M, Schechter J, Papanagnou D, Pandya S, Sinert R |title=History, Physical Examination, Laboratory Testing, and Emergency Department Ultrasonography for the Diagnosis of Acute Cholecystitis |journal=Acad Emerg Med |volume=24 |issue=3 |pages=281–297 |year=2017 |pmid=27862628 |doi=10.1111/acem.13132 |url=}}</ref> | ||
Revision as of 06:44, 13 December 2017
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Acute cholecystitis Microchapters |
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Acute cholecystitis physical examination On the Web |
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American Roentgen Ray Society Images of Acute cholecystitis physical examination |
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Risk calculators and risk factors for Acute cholecystitis physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Dildar Hussain, MBBS [2]
Overview
Patients with [disease name] usually appear [general appearance]. Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].
OR
Common physical examination findings of [disease name] include [finding 1], [finding 2], and [finding 3].
OR
The presence of [finding(s)] on physical examination is diagnostic of [disease name].
OR
The presence of [finding(s)] on physical examination is highly suggestive of [disease name].
Physical Examination
- The presence of positive murphy's sign on physical examination is highly suggestive of acute cholecysitis.[1][2]
Appearance of the Patient
- Ill appearing
- In severe distress
Vital Signs
- High-grade fever [3][4]
- Tachycardia with regular pulse.
- Tachypnea
Skin
-
Description (Adapted from Dermatology Atlas)
-
Description (Adapted from Dermatology Atlas)
Abdomen
- Abdominal tenderness in the right upper abdominal quadrant.
- Rebound tenderness[5]
- A palpablemgall bladder,positive Courvoisier's sign.[6]
- Voluntary and involuntary guarding may be present.[7]
- Murphy test positive.[8]
Neuromuscular
- Patient is usually oriented to persons, place, and time
- Altered mental status
- Glasgow coma scale is 15 / 15.
References
- ↑ Adedeji OA, McAdam WA (1996). "Murphy's sign, acute cholecystitis and elderly people". J R Coll Surg Edinb. 41 (2): 88–9. PMID 8632396.
- ↑ Diehl AK (1992). "Symptoms of gallstone disease". Baillieres Clin. Gastroenterol. 6 (4): 635–57. PMID 1486206.
- ↑ Singer AJ, McCracken G, Henry MC, Thode HC, Cabahug CJ (1996). "Correlation among clinical, laboratory, and hepatobiliary scanning findings in patients with suspected acute cholecystitis". Ann Emerg Med. 28 (3): 267–72. PMID 8780468.
- ↑ Cooper C (1997). "Acute cholecystitis". Ann Emerg Med. 29 (4): 554–5. PMID 9095024.
- ↑ Strasberg SM (2008). "Clinical practice. Acute calculous cholecystitis". N. Engl. J. Med. 358 (26): 2804–11. doi:10.1056/NEJMcp0800929. PMID 18579815.
- ↑ Fitzgerald JE, White MJ, Lobo DN (2009). "Courvoisier's gallbladder: law or sign?". World J Surg. 33 (4): 886–91. doi:10.1007/s00268-008-9908-y. PMID 19190960.
- ↑ Katabathina VS, Zafar AM, Suri R (2015). "Clinical Presentation, Imaging, and Management of Acute Cholecystitis". Tech Vasc Interv Radiol. 18 (4): 256–65. doi:10.1053/j.tvir.2015.07.009. PMID 26615166.
- ↑ Jain A, Mehta N, Secko M, Schechter J, Papanagnou D, Pandya S, Sinert R (2017). "History, Physical Examination, Laboratory Testing, and Emergency Department Ultrasonography for the Diagnosis of Acute Cholecystitis". Acad Emerg Med. 24 (3): 281–297. doi:10.1111/acem.13132. PMID 27862628.