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+++ Almost Always

Clinical Summary Table ++ Occasionally
+ Almost Never

Acute Choleycystitis Cholelithiasis Choledocholelithiasis Cholangitis Gallstone Pancreatis

History Posprandial Pain +++ +++ ++ ++ ++

Duration of Pain > 2 Hrs 1-2 Hrs > 2 Hrs > 2 Hrs > 2 Hrs
Chills +++ + + +++ ++
Jaundice History + + +++ +++ ++
Location of Pain RUQ RUQ RUQ RUQ Epigastric
Nausea and Vomitting +++ ++ + + ++

Physical Exam Scleral Icterus + + +++ +++ ++

Murphy's Sign +++ + + + +
Fever +++ + + +++ ++

Labs Elevated WBC count +++ + ++ +++ ++

Elevated Bilirubin + + +++ +++ ++
Elevated Alkaline Phosphatase ++ + +++ +++ ++
Elevated Amylase/Lipase + + + + +++
Elevated OT/PT + + ++ +++ +

Ultrasound Gallstones +++ +++ +++ +++ +++

Pericholeycystic Fluid +++ + + + +
Gallbladder wall thickening +++ + + + +
Sonographyc Murphy's Sign +++ + + + +
CBD Diliatation + + +++ +++ +++

Both Doudenal
HIDA Filling Duodenal Only Gallbladder Only Gallbladder Only Gallbladder Only
and Gallbladder

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