Last reviewed: November 2017
Last updated: November  2017

Summary

Definition

History and exam

Key diagnostic factors

  • previous episode of biliary pain
  • RUQ pain
  • positive Murphy sign
  • abdominal mass

Other diagnostic factors

  • right shoulder pain
  • anorexia
  • nausea
  • fever
  • vomiting
  • jaundice

Risk factors

  • gallstones
  • physical inactivity
  • low fiber intake
  • severe illness
  • trauma
  • severe burns
  • total parenteral nutrition (TPN)
  • ceftriaxone
  • cyclosporine
  • hepatic arterial embolization
  • infections

Diagnostic investigations

1st investigations to order

  • CBC
  • C-reactive protein
  • LFTs
  • RUQ ultrasound scan
Full details

Investigations to consider

  • cholescintigraphy (hepatobiliary iminodiacetic acid [HIDA] scan)
  • abdominal CT
  • abdominal MRI
  • abdominal x-ray
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Professor of Surgery

University of New Mexico

School of Medicine

Albuquerque

NM

Disclosures

CB is an author of one study referenced in this monograph. CB declares that he has no other competing interests.

Peer reviewers VIEW ALL

Professor of Pediatrics

Chief

Division of Gastroenterology, Hepatology, and Nutrition

University of Chicago Comer Children's Hospital

Chicago

IL

Disclosures

SG declares that he has no competing interests.

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