Acute cholecystitis diagnostic study of choice: Difference between revisions
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=== Gold standard/Study of choice: === | === Gold standard/Study of choice: === | ||
* | * Transabdominal ultrasonography is the gold standard for the diagnosis of gallstones.<ref name="urlGallbladder, Cholecystitis, Acute - StatPearls - NCBI Bookshelf">{{cite web |url=https://www.ncbi.nlm.nih.gov/books/NBK459171/#article-19448.s5 |title=Gallbladder, Cholecystitis, Acute - StatPearls - NCBI Bookshelf |format= |work= |accessdate=}}</ref> | ||
* The following result of | * The following result of transabdominal ultrasonography is confirmatory of acute cholecystitis: | ||
** | ** Thickened gallbladder | ||
** | ** Gallstones | ||
* The ultrasound should be performed when: | * The ultrasound should be performed when: | ||
** The patient presented with | ** The patient presented with right upper quadrant pain, abdominal guarding, fever, and a positive Murphy's sign. | ||
===== Diagnostic results ===== | ===== Diagnostic results ===== | ||
The following result of | The following result of transabdominal ultrasonography is confirmatory of acute cholecystitis: | ||
* | * Thickened gallbladder | ||
* | * Gallstones | ||
===== Sequence of Diagnostic Studies ===== | ===== Sequence of Diagnostic Studies ===== | ||
The | The transabdominal ultrasonography should be performed when: | ||
* The | * The presented with right upper quadrant pain, abdominal guarding, fever, and a positive Murphy's sign. | ||
* A positive | * A positive transabdominal ultrasonography is detected in the patient, to confirm the diagnosis. | ||
=== Diagnostic Criteria === | === Diagnostic Criteria === | ||
Revision as of 20:12, 7 December 2017
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:
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Overview
Diagnostic Study of Choice
Gold standard/Study of choice:
- Transabdominal ultrasonography is the gold standard for the diagnosis of gallstones.[1]
- The following result of transabdominal ultrasonography is confirmatory of acute cholecystitis:
- Thickened gallbladder
- Gallstones
- The ultrasound should be performed when:
- The patient presented with right upper quadrant pain, abdominal guarding, fever, and a positive Murphy's sign.
Diagnostic results
The following result of transabdominal ultrasonography is confirmatory of acute cholecystitis:
- Thickened gallbladder
- Gallstones
Sequence of Diagnostic Studies
The transabdominal ultrasonography should be performed when:
- The presented with right upper quadrant pain, abdominal guarding, fever, and a positive Murphy's sign.
- A positive transabdominal ultrasonography is detected in the patient, to confirm the diagnosis.
Diagnostic Criteria
- Here you should describe the details of the diagnostic criteria.
- Always mention the name of the criteria/definition you are about to list (e.g. modified Duke criteria for the diagnosis of endocarditis / 3rd universal definition of MI) and cite the primary source of where this criteria/definition is found.
- Although not necessary, it is recommended that you include the criteria in a table. Make sure you always cite the source of the content and whether the table has been adapted from another source.
- Be very clear as to the number of criteria (or threshold) that needs to be met out of the total number of criteria.
- Distinguish criteria based on their nature (e.g. clinical criteria / pathological criteria/ imaging criteria) before discussing them in details.
- To view an example (endocarditis diagnostic criteria), click here
- If relevant, add additional information that might help the reader distinguish various criteria or the evolution of criteria (e.g. original criteria vs. modified criteria).
- You may also add information about the sensitivity and specificity of the criteria, the pre-test probability, and other figures that may help the reader understand how valuable the criteria are clinically.
- [Disease name] is mainly diagnosed based on clinical presentation. There are no established criteria for the diagnosis of [disease name].
- There is no single diagnostic study of choice for [disease name], though [disease name] may be diagnosed based on [name of criteria] established by [...].
- The diagnosis of [disease name] is made when at least [number] of the following [number] diagnostic criteria are met: [criterion 1], [criterion 2], [criterion 3], and [criterion 4].
- The diagnosis of [disease name] is based on the [criteria name] criteria, which includes [criterion 1], [criterion 2], and [criterion 3].
- [Disease name] may be diagnosed at any time if one or more of the following criteria are met:
- Criteria 1
- Criteria 2
- Criteria 3
IF there are clear, established diagnostic criteria:
- The diagnosis of [disease name] is made when at least [number] of the following [number] diagnostic criteria are met: [criterion 1], [criterion 2], [criterion 3], and [criterion 4].
- The diagnosis of [disease name] is based on the [criteria name] criteria, which include [criterion 1], [criterion 2], and [criterion 3].
- The diagnosis of [disease name] is based on the [definition name] definition, which includes [criterion 1], [criterion 2], and [criterion 3].
IF there are no established diagnostic criteria:
- There are no established criteria for the diagnosis of [disease name].
References
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