Gallbladder volvulus history and symptoms: Difference between revisions

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==Overview==
Presentation of gallbladder volvulus is very non -specific. It is tough to diagnose based upon just the history and symptoms because patients present with acute abdominal pain with or without [[vomit]]ing. At times there may be a tender mobile mass palpated suggestive of a floating gallbladder.


==History and Symptoms==
==History and Symptoms==
Presentation of gallbladder volvulus is very non -specific. It is tough to diagnose based upon history and symptoms alone as  patients presents with acute pain abdomen with or without vomiting. At times there may be a  tender mobile mass palpated suggestive of  floating gallbladder.
Lau et al grouped clinical features into three triads:<ref name="pmid6959595">{{cite journal| author=Lau WY, Fan ST, Wong SH| title=Acute torsion of the gall bladder in the aged: a re-emphasis on clinical diagnosis. | journal=Aust N Z J Surg | year= 1982 | volume= 52 | issue= 5 | pages= 492-4 | pmid=6959595 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6959595 }} </ref>
 
Lau et al grouped clinical features into three triads<ref>http://www.ncbi.nlm.nih.gov/pubmed?term=6959595</ref>
* Triad of patient characteristics
* Triad of patient characteristics
** Thin patient   
** Thin patient   
** Old patient with chronic chest disease
** Old patient with chronic chest disease
** Patient with deformed spine
** Patient with deformed [[spine]]
* Triad of symptoms
* Triad of symptoms
** Typical abdominal pain
** Typical [[abdominal pain]]
** Early onset of vomiting
** Early onset of vomiting
** A short history of symptoms
** A short history of symptoms
* [[Gallbladder volvulus physical examination|Triad of physical signs]]
* [[Gallbladder volvulus physical examination|Triad of physical signs]]


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[[Category:Gastroenterology]]
[[Category:Gastroenterology]]
[[Category:Disease]]
[[Category:Disease]]
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Latest revision as of 20:16, 6 March 2013

Gallbladder volvulus Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Govindavarjhulla, M.B.B.S. [2]

Overview

Presentation of gallbladder volvulus is very non -specific. It is tough to diagnose based upon just the history and symptoms because patients present with acute abdominal pain with or without vomiting. At times there may be a tender mobile mass palpated suggestive of a floating gallbladder.

History and Symptoms

Lau et al grouped clinical features into three triads:[1]

  • Triad of patient characteristics
    • Thin patient
    • Old patient with chronic chest disease
    • Patient with deformed spine
  • Triad of symptoms
    • Typical abdominal pain
    • Early onset of vomiting
    • A short history of symptoms
  • Triad of physical signs

References

  1. Lau WY, Fan ST, Wong SH (1982). "Acute torsion of the gall bladder in the aged: a re-emphasis on clinical diagnosis". Aust N Z J Surg. 52 (5): 492–4. PMID 6959595.

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