Chronic cholecystitis physical examination: Difference between revisions
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===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
* Patient may look toxic and in diffuse pain. | * Patient may look toxic and in diffuse pain. | ||
===Vital Signs=== | |||
* Heart rate - increased due to fever | |||
* Temperture - raised | |||
* Pulse - increased in rate, normal volume and rhythm. Volume may be decreased in cases of shock. | |||
* Respiratory rate - within normal limits | |||
===Skin=== | |||
* It may be dry in cases of hypovolemia( burns). | |||
* Yellowish discoloration may be noticed if severe jaundice is present. | |||
==References== | ==References== | ||
Revision as of 22:03, 20 August 2012
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Aditya Govindavarjhulla, M.B.B.S. [2]
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Overview
Cholecystitis is usually diagnosed by a history of the above symptoms, as well examination findings like fever (usually low grade in uncomplicated cases) and tender right upper quadrant +/- Murphy's sign. Subsequent laboratory and imaging tests are used to confirm the diagnosis and exclude other possible causes.
Physical Examination
Appearance of the Patient
- Patient may look toxic and in diffuse pain.
Vital Signs
- Heart rate - increased due to fever
- Temperture - raised
- Pulse - increased in rate, normal volume and rhythm. Volume may be decreased in cases of shock.
- Respiratory rate - within normal limits
Skin
- It may be dry in cases of hypovolemia( burns).
- Yellowish discoloration may be noticed if severe jaundice is present.