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