goodduck

cholecystitis

[cause]--inflammation
1. mechanical
2. chemical
3. bacterial

[S&S]
L: RUQ pain, radiate to right shoulder, scapula, interscapula area
Q: bililary colic
O: acute / subacute, progresssive
P: episodes of mild RUQ postprandial pain
E: -------
R: -------
A: N/V, anorexia, fever(low)-> rigor, chill

[PE]
Murphy's sign
Palpable and  tender gallbladder


[keypoint]--can't forget!
1. cholecystitis: RUQ pain, lower grade fever, leukocytosis(10000~15000), Murphy's sign
2. cholangitis:   RUQ pain, high grade(spiking) fever, jaundice, Charcot's triad
3. pancreatitis:  LUQ pain, leukocytosis(15000~20000)