Chronic cholecystitis physical examination
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
Patients with chronic cholecystitis may have malaise during the episode. The physical examination in chronic cholecystitis is remarkable for tender right upper quadrant, fever (usually low grade in uncomplicated cases) and a positive Murphy's sign.
Physical Examination
Patients with chronic cholecystitis may have malaise during the episode. The physical examination in chronic cholecystitis is remarkable for tender right upper quadrant, fever (usually low grade in uncomplicated cases) and a positive Murphy's sign. [1][2][3]
Appearance of the Patient
- Patient may have malaise.
Vital Signs
- Fever
- Tachycardia
Skin
- It may be dry in cases of hypovolemia (burns).
- Yellowish discoloration may be noticed if severe jaundice is present.
Eyes
- Jaundice may be noticed.
Abdomen
- Tenderness is observed over the right upper quadrant of the abdomen.
- Murphy's sign can be elicited.
- Gallbladder may be palpable.
- Fullness of right upper quadrant.
- In chronic cholecystitis, the gallbladder may not be palpable due to fibrosis and shrinking of the gallbladder.
References
- ↑ Jones MW, Ferguson T. PMID 29262051. Missing or empty
|title=(help) - ↑ [+https://www.ncbi.nlm.nih.gov/books/NBK470236/#article-19521.s1 "Gallbladder, Cholecystitis, Chronic - StatPearls - NCBI Bookshelf"] Check
|url=value (help). - ↑ Knab LM, Boller AM, Mahvi DM (2014). "Cholecystitis". Surg. Clin. North Am. 94 (2): 455–70. doi:10.1016/j.suc.2014.01.005. PMID 24679431.