Gallbladder volvulus history and symptoms: Difference between revisions
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==History and Symptoms== | ==History and Symptoms== | ||
Presentation of gallbladder volvulus is very non -specific. It is tough to diagnose based upon history and symptoms | Presentation of gallbladder volvulus is very non -specific. It is tough to diagnose based upon just the history and symptoms because patients present with acute abdominal pain with or without [[vomit]]ing. At times there may be a tender mobile mass palpated suggestive of a floating gallbladder. | ||
Lau et al grouped clinical features into three triads<ref name="pmid6959595">{{cite journal| author=Lau WY, Fan ST, Wong SH| title=Acute torsion of the gall bladder in the aged: a re-emphasis on clinical diagnosis. | journal=Aust N Z J Surg | year= 1982 | volume= 52 | issue= 5 | pages= 492-4 | pmid=6959595 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6959595 }} </ref>: | Lau et al grouped clinical features into three triads<ref name="pmid6959595">{{cite journal| author=Lau WY, Fan ST, Wong SH| title=Acute torsion of the gall bladder in the aged: a re-emphasis on clinical diagnosis. | journal=Aust N Z J Surg | year= 1982 | volume= 52 | issue= 5 | pages= 492-4 | pmid=6959595 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6959595 }} </ref>: | ||
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** Thin patient | ** Thin patient | ||
** Old patient with chronic chest disease | ** Old patient with chronic chest disease | ||
** Patient with deformed spine | ** Patient with deformed [[spine]] | ||
* Triad of symptoms | * Triad of symptoms | ||
** Typical abdominal pain | ** Typical [[abdominal pain]] | ||
** Early onset of vomiting | ** Early onset of vomiting | ||
** A | ** A short history of symptoms | ||
* [[Gallbladder volvulus physical examination|Triad of physical signs]] | * [[Gallbladder volvulus physical examination|Triad of physical signs]] | ||
Revision as of 16:16, 18 February 2013
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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History and Symptoms
Presentation of gallbladder volvulus is very non -specific. It is tough to diagnose based upon just the history and symptoms because patients present with acute abdominal pain with or without vomiting. At times there may be a tender mobile mass palpated suggestive of a floating gallbladder.
Lau et al grouped clinical features into three triads[1]:
- Triad of patient characteristics
- Thin patient
- Old patient with chronic chest disease
- Patient with deformed spine
- Triad of symptoms
- Typical abdominal pain
- Early onset of vomiting
- A short history of symptoms
- Triad of physical signs
References
- ↑ Lau WY, Fan ST, Wong SH (1982). "Acute torsion of the gall bladder in the aged: a re-emphasis on clinical diagnosis". Aust N Z J Surg. 52 (5): 492–4. PMID 6959595.