Gallbladder disease (main)

Background

Types

• Acute cholecystitis
• Cholangitis
• Symptomatic cholelithiasis
• Acalculous cholecystitis

Workup

1. CBC
2. Chemistry
3. LFTs
4. Lipase
5. PT/PTT
6. Gallbladder US

Differential Diagnosis

RUQ Pain

• Gallbladder disease
  • Symptomatic cholelithiasis (biliary colic)
  • Choledocholithiasis
  • Acute cholecystitis
  • Ascending cholangitis
  • Acalculous cholecystitis
• Pancreatitis
• Acute hepatitis
• Pancreatitis
• GERD
• Appendicitis (retrocecal)
• Pyogenic liver abscess
• Bowel obstruction
• Cirrhosis
• Budd-Chiari syndrome
• GU
  • Pyelonephritis
  • Kidney stone
  • Fitz-Hugh-Curtis Syndrome
• Other
  • Hepatomegaly due to CHF
  • Peptic ulcer disease with or without perforation
  • Pneumonia
  • Herpes zoster
  • Myocardial ischemia
  • Pulmonary embolism
  • Abdominal aortic aneurysm

See Also

• Ultrasound: Gallbladder
• Abdominal Pain

Source

• UpToDate