Bilary colic
| Headline | |
|---|---|
| Etiology | Intermittent obstruction of bile duct with Gallstones |
| Clinical presentation | RUQ intermittent pain Ddx: if there's fever, it might be cholangitis or Cholecystitis |
| Pathogenesis | |
| Diagnostic investigations | abdo US (>95% accurate): thick-walled, shrunken GB; pericholecystic fluid; stones. Absence ≠ exclusion! - Bloods: serum amylase/lipase; check for obstructive jaundice |
| Management | Acutely: NSAIDs are first line analgesia Lap chole - usually elective but ?this might change |