Gallstone disease history and symptoms: Difference between revisions

Jump to navigation Jump to search
No edit summary
No edit summary
Line 15: Line 15:


==History and Symptoms==
==History and Symptoms==
 
* The majority of patients with gallstone disease are [[asymptomatic]].<ref>{{cite web |url=http://www.emedicine.com/med/topic836.htm#section~clinical |title=Cholelithiasis |accessdate=2007-08-25 |work=emedicine from WebMD}}</ref>  
The majority of patients with gallstone disease are [[asymptomatic]].<ref>{{cite web |url=http://www.emedicine.com/med/topic836.htm#section~clinical |title=Cholelithiasis |accessdate=2007-08-25 |work=emedicine from WebMD}}</ref> They start developing symptoms once the stones reach a certain size (>8mm).<ref>{{cite web |url=http://www.nlm.nih.gov/medlineplus/ency/article/000273.htm#Symptoms%20Medline%20Plus |title=Gallstones |accessdate=2007-08-25 |work=Medline Plus}}</ref>A gallstone "attack", also known as '''biliary colic''' is described as intense pain in the upper abdominal region that steadily increases for approximately thirty minutes to several hours with pain in the back, ordinarily between the shoulder blades, or pain under the right shoulder (Collins' sign). This occurs when the disease symptomatizes. Eventually, the pain subsides. A positive history for [[obesity]], [[Parity (medicine)|multiparity]] and age over 40 is suggestive of gallstones.<ref name="pmid2368790">{{cite journal |vauthors=Diehl AK, Sugarek NJ, Todd KH |title=Clinical evaluation for gallstone disease: usefulness of symptoms and signs in diagnosis |journal=Am. J. Med. |volume=89 |issue=1 |pages=29–33 |year=1990 |pmid=2368790 |doi= |url=}}</ref>
* Patients start developing symptoms once the stones reach a certain size (>8mm).<ref>{{cite web |url=http://www.nlm.nih.gov/medlineplus/ency/article/000273.htm#Symptoms%20Medline%20Plus |title=Gallstones |accessdate=2007-08-25 |work=Medline Plus}}</ref>
** A gallstone "attack", also known as '''biliary colic''' is described as intense pain in the upper abdominal region that steadily increases for approximately thirty minutes to several hours with pain in the back, ordinarily between the shoulder blades, or pain under the right shoulder (Collins' sign). This occurs when the disease symptomatizes. Eventually, the pain subsides. A positive history for [[obesity]], [[Parity (medicine)|multiparity]] and age over 40 is suggestive of gallstones.<ref name="pmid2368790">{{cite journal |vauthors=Diehl AK, Sugarek NJ, Todd KH |title=Clinical evaluation for gallstone disease: usefulness of symptoms and signs in diagnosis |journal=Am. J. Med. |volume=89 |issue=1 |pages=29–33 |year=1990 |pmid=2368790 |doi= |url=}}</ref>


===History===
===History===

Revision as of 16:13, 7 December 2017

https://https://www.youtube.com/watch?v=oo0rKyGodjQ%7C350}}

Gallstone disease Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Gallstone disease from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X Ray

CT

MRI

Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Lithotripsy
Surgical management

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Gallstone disease history and symptoms On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Gallstone disease history and symptoms

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Gallstone disease history and symptoms

CDC on Gallstone disease history and symptoms

Gallstone disease history and symptoms in the news

Blogs on Gallstone disease history and symptoms

Directions to Hospitals Treating Gallstone disease

Risk calculators and risk factors for Gallstone disease history and symptoms

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hadeel Maksoud M.D.[2]

Overview

The diagnosis of uncomplicated gallstone disease is made in a patient who may be asymptomatic or experiencing biliary colic with a normal physical examination and normal laboratory tests including complete blood count, aminotransferases, bilirubin, alkaline phosphatase, amylase, and lipase. The next step should be to image these patients to determine if there are gallbladder stones or sludge. Typically, the evaluation begins with a transabdominal ultrasound since it is the most sensitive modality for detecting gallbladder stones. If the transabdominal ultrasound is negative in a patient with biliary colic, additional studies that may help with the diagnosis include endoscopic ultrasound (EUS) and bile microscopy. Most patients are females over the age of 40 whom have had multiple children and tend to have a BMI over 25. [1]

History and Symptoms

  • The majority of patients with gallstone disease are asymptomatic.[2]
  • Patients start developing symptoms once the stones reach a certain size (>8mm).[3]
    • A gallstone "attack", also known as biliary colic is described as intense pain in the upper abdominal region that steadily increases for approximately thirty minutes to several hours with pain in the back, ordinarily between the shoulder blades, or pain under the right shoulder (Collins' sign). This occurs when the disease symptomatizes. Eventually, the pain subsides. A positive history for obesity, multiparity and age over 40 is suggestive of gallstones.[1]

History

Patients with gallstones may have a positive history of:

Gallstone disease can be categorized as having 4 different stages,

1.The lithogenic state, in which conditions favor gallstone formation

2.Asymptomatic gallstones

3.Symptomatic gallstones, characterized by episodes of biliary colic (symptoms are listed below)

4.Complicated cholelithiasis

Common Symptoms of Biliary Colic

Common symptoms of gallstones include:

Less Common Symptoms of Biliary Colic

Less common symptoms of gallstones include

References

  1. 1.0 1.1 Diehl AK, Sugarek NJ, Todd KH (1990). "Clinical evaluation for gallstone disease: usefulness of symptoms and signs in diagnosis". Am. J. Med. 89 (1): 29–33. PMID 2368790.
  2. "Cholelithiasis". emedicine from WebMD. Retrieved 2007-08-25.
  3. "Gallstones". Medline Plus. Retrieved 2007-08-25.
  4. Johnson CD (2001). "ABC of the upper gastrointestinal tract. Upper abdominal pain: Gall bladder". BMJ. 323 (7322): 1170–3. PMC 1121646. PMID 11711412.
  5. LUND J (1960). "Surgical indications in cholelithiasis: prophylactic choleithiasis: prophylactic cholecystectomy elucidated on the basis of long-term follow up on 526 nonoperated cases". Ann. Surg. 151: 153–62. PMC 1613279. PMID 13848582.
  6. Berger MY, Olde Hartman TC, Bohnen AM (2003). "Abdominal symptoms: do they disappear after cholecystectomy?". Surg Endosc. 17 (11): 1723–8. doi:10.1007/s00464-002-9154-6. PMID 12802649.

Template:WH Template:WS