Cholecystitis

Alternate Name:

Test:

WCC (H), S.bilirubin (N or H), ALP (H), BSP (11),AST (N or H), ALT (N or H), S.amylase (H), ultra­sound (AB), cholangiogram (AB)

Sign:

Murphy's sign, jaundice, abdominal rebound ten-derness

Dd:

Myocardial infarct, peptic ulcer, pancreatitis,pneumonia, appendicitis, intestinal obstruction, pyelonephritis, hepatitis, intestinal cancer, pleu­risy

Phys:

90% associated with gallstone in cystic duct. Bac­terial infection possible