Chronic cholecystitis physical examination
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Furqan M M. M.B.B.S[2], Aditya Govindavarjhulla, M.B.B.S. [3]
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Chronic cholecystitis Microchapters |
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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 patients with chronic cholecystitis may yield the following findings:[1][2][3]
Appearance of the Patient
- Patient may have malaise
Vital Signs
Skin
- Dry skin in cases of hypovolemia (burns)
- Yellowish discoloration of skin in severe jaundice
Eyes
- Jaundice may be noticed
Abdomen
- Right upper quadrant abdominal tenderness
- Murphy's sign can be elicited
- Gallbladder may be palpable
- Gallbladder may not be palpable due to fibrosis and shrinking of the gallbladder
- Fullness of right upper quadrant
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.