Chronic cholecystitis differential diagnosis: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
No edit summary |
||
| Line 3: | Line 3: | ||
{{Cholecystitis}} | {{Cholecystitis}} | ||
==Differentiating Cholecystitis from other Diseases== | ==Differentiating Cholecystitis from other Diseases== | ||
* [[Biliary colic ]] | * [[Biliary colic ]] | ||
| Line 48: | Line 47: | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Needs overview]] | |||
[[Category:Gastroenterology]] | |||
[[Category:Hepatology]] | |||
[[Category:Inflammations]] | |||
[[Category:General surgery]] | |||
[[Category:Emergency medicine]] | |||
[[Category:Signs and symptoms]] | |||
[[Category:Disease]] | |||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Revision as of 23:50, 2 February 2013
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
|
Chronic cholecystitis Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Chronic cholecystitis differential diagnosis On the Web |
|
American Roentgen Ray Society Images of Chronic cholecystitis differential diagnosis |
|
Risk calculators and risk factors for Chronic cholecystitis differential diagnosis |
Differentiating Cholecystitis from other Diseases
- Biliary colic
- Caused by obstruction of the cystic duct
- Sharp and constant epigastric pain without fever
- Murphy's sign is negative
- Liver function tests are normal
- Choledocholithiasis
- Blockage of the common bile duct
- Associated with 'colicky' pain
- Obstructive jaundice
- Liver function tests - increase in serum bilirubin, high conjugated bilirubin, raised GGT and ALP
- Cholangitis
- An infection of entire biliary tract.
- It may involve pathogens of distal bowels and is also known as 'ascending cholangitis.[1].
- The classical sign of cholangitis is Charcot's triad - which is right upper quadrant pain, fever and jaundice.
- Liver function tests - increase if enzymes (AST, ALT, ALP, GGT) with raised bilirubin.
- Bile is an extremely favorable growth medium for bacteria and infections develop rapidly and become quite severe.
Differential diagnosis of Cholecystitis
Acute cholecystitis
- This should be suspected whenever there is acute right upper quadrant or epigastric pain.
Chronic cholecystitis
- The symptoms of chronic cholecystitis are non-specific, thus chronic cholecystitis may be mistaken for other common disorders:
- Peptic ulcer
- Hiatus hernia
- Colitis
- Functional bowel syndrome
References
- ↑ Sung JY; Costerton JW; Shaffer EA (1992). "Defense system in the biliary tract against bacterial infection". World J. Gastroenterol. 37 (5): 689–96. doi:10.1007/BF01296423. PMID 1563308.