University:
Stanford University
Course:
MED 101 | Human Anatomy
Academic year:

2023
Views:

408

Pages:

1
Author:

larbi43100

‭Uncomplicated gallbladder lithiasis‬ ‭Clinical signs -‬‭Uncomplicated gallstone lithiasis‬‭is very often asymptomatic.‬ ‭Otherwise, it manifests itself as attacks of hepatic colic, the pain of which is‬ ‭characterized by:‬ ‭-‬ ‭-‬ ‭-‬ ‭-‬ ‭-‬ ‭-‬ i‭ts mode of appearance: sudden, often at the start of the night;‬ ‭its intensity: high;‬ ‭its duration: from 15 minutes to 5 hours (beyond 5 hours, a complication‬ ‭must be considered);‬ ‭its topography: epigastric, with radiation towards the right shoulder‬ ‭and hypochondrium;‬ ‭Murphy's sign: pain provoked with respiratory inhibition during‬ ‭palpation of the right hypochondrium; the association with nausea or‬ ‭vomiting in more than half of cases.‬ ‭Biological signs‬‭-Liver function tests are normal.‬‭Discreet hyperbilirubinemia‬ ‭may be observed, but if this persists, we must then consider lithiasis of the‬ ‭common bile duct.‬ ‭Imaging methods‬‭-Abdominal ultrasound is the gold standard‬‭examination‬ ‭Gallbladder complications of cholelithiasis‬ ‭There are three of them: acute cholecystitis, chronic cholecystitis and‬ ‭gallbladder cancer (chronic cholecystitis is the most common of these three‬ ‭complications). The risk of seeing gallstone disease develop into a complication‬ ‭is relatively low: 10% after 5 years, 15% after 10 years, 18% after 15 years.‬ ‭Although they do not have their place in a chapter devoted to gallstones,‬ ‭we will also say a few words about astone cholecystitis.‬