Biliary Disease
Cholelithiasis
80% = cholesterol as major component
pain usually poorly localised
no systemic signs/symptoms
lab Ix - normal
USS preferred imaging modality, MRI if stone is thought to be in the duct (choledocholithiasis)
Cholecystitis
well localised pain
often with guarding, rebound tenderness, peritonism, fever, systemic signs
up to 1/3 do not have leukocytosis
Cholangitis