This physical exam finding is positive when a patient abruptly stops inhaling due to pain while a clinician palpates beneath the right costal margin during inspiration.
What is Murphy's Sign?
100
Recurrent, crampy abdominal pain 2 hours after eating fatty food.
What is Biliary Colic?
100
Treatment for acute cholecystitis
What is cholecystectomy and IV antibiotics?
100
Abdominal pain with jaundice, ALT 1500, AST 1700 and Lipase 3500
What is Gallstone Pancreatitis?
200
4 F's?
What are Fat, Fertile, Female, Forty?
200
Fever, RUQ pain and ultrasound shows thick GB wall
What is Acute Cholecystitis?
200
Treatment for gallstone in the common bile duct
What is ERCP (endoscopy retrograde cholangiopancreatography)?
200
Gallbladder wall thickness >4 mm, pericholecystic fluid on ultrasound
What is Acute Cholecystitis?
300
Gallstone in the common bile duct
What is choledocholithiasis?
300
Infection and obstruction or stasis of the biliary tract
What is Ascending Cholangitis?
300
Treatment for ascending cholangitis
What is broad spectrum antibiotics and establish drainage of biliary tract?
300
Epigastric abdominal pain, vomiting, elevated lipase and large fluid filled structure attached to pancreas on CT
What is pancreatitis with pseudocyst?
300
Very high triglycerides
What is a common cause of pancreatitis?
400
Fever, abdominal pain and jaundice
What is Charcot's Triad
400
Treatment for alcoholic pancreatitis
What is IV fluids, pain control and stopping alcohol use?
400
Small bowel obstruction and pneumobilia on abdominal xray
What is Gallstone Ileus?
400
Medical significance of "porcelain gallbladder"
What is possible increased risk of gallbladder cancer?
500
Palpable gallbladder
What is Courvoisier's Sign?
500
RUQ pain and fever in sick AIDS patient. No gallstones on ultrasound.
What is acalculous cholecystitis?
500
Additional lab test for patients with acalculous cholecystitis
What are blood cultures?
500
Altered mental status, fever, right upper quadrant pain, jaundice, hypotension
What is ascending cholangitis?
500
Ceftriaxone and estrogen oral contraceptives
What are medications associated with gallstone formation?