Symptomatic cholelithiasis is usually detected in a patient who complains of intermittent attacks of right upper quadrant pain that are constant, last for a variable amount of time, and radiate around to the scapula. Patients are usually referred electively to the surgical service or through the Emergency Room during an acute attack that has per-sisted and become refractory to over-the-counter pain medication. Ultrasound is 95 percent accurate for detecting cholelithisis/cholecystitis and HIDA scan is reserved for those patients with nondiagnostic ultra-sounds.
KeywordsCommon Bile Duct Pain Medication Common Bile Duct Stone Bile Duct Injury Common Bile Duct Exploration
Unable to display preview. Download preview PDF.