Chronic cholecystitis physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{CMG}} ; {{AE}} {{ADI}} | |||
{{CMG}} ; {{AE}} {{MMF}}, {{ADI}} | |||
{{Cholecystitis}} | {{Cholecystitis}} | ||
==Overview== | ==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]]. | 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== | ==Physical Examination == | ||
Patients with chronic cholecystitis may have malaise during the episode. The physical examination in chronic cholecystitis | Patients with chronic cholecystitis may have malaise during the episode. The physical examination in patients with chronic cholecystitis may yield the following findings:<ref name="pmid29262051">{{cite journal |vauthors=Jones MW, Ferguson T |title= |journal= |volume= |issue= |pages= |year= |pmid=29262051 |doi= |url=}}</ref><ref name="urlGallbladder, Cholecystitis, Chronic - StatPearls - NCBI Bookshelf">{{cite web |url=+https://www.ncbi.nlm.nih.gov/books/NBK470236/#article-19521.s1 |title=Gallbladder, Cholecystitis, Chronic - StatPearls - NCBI Bookshelf |format= |work= |accessdate=}}</ref><ref name="pmid24679431">{{cite journal |vauthors=Knab LM, Boller AM, Mahvi DM |title=Cholecystitis |journal=Surg. Clin. North Am. |volume=94 |issue=2 |pages=455–70 |year=2014 |pmid=24679431 |doi=10.1016/j.suc.2014.01.005 |url=}}</ref> | ||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
* Patient may have malaise | * Patient may have malaise | ||
===Vital Signs=== | ===Vital Signs=== | ||
* [[ | * [[Fever]] | ||
* [[Tachycardia]] | |||
* [[ | |||
===Skin=== | ===Skin=== | ||
* | * [[Dry skin]] in cases of [[hypovolemia]] ([[Burn|burns]]) | ||
* Yellowish discoloration | * Yellowish discoloration of skin in severe [[jaundice]] | ||
===Eyes=== | ===Eyes=== | ||
* Jaundice may be noticed | * [[Jaundice]] may be noticed | ||
===Abdomen=== | ===Abdomen=== | ||
* | * Right upper quadrant abdominal tenderness | ||
* [[Murphy's sign]] can be elicited | * [[Murphy's sign]] can be elicited | ||
* [[Gallbladder]] may be palpable | * [[Gallbladder]] may be palpable | ||
* | ** Gallbladder may not be palpable due to [[fibrosis]] and shrinking of the gallbladder | ||
* | * Fullness of right upper quadrant | ||
==References== | ==References== | ||
Latest revision as of 19:12, 28 February 2018
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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Chronic cholecystitis physical examination On the Web |
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American Roentgen Ray Society Images of Chronic cholecystitis physical examination |
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Risk calculators and risk factors for Chronic cholecystitis physical examination |
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.