Abstract
A Case of Acute Cholecystitis
Highlights
History of present illness: A 46-year-old female with a history of an aortic arch repair secondary to invasive aspergillosis in addition to a known history of gallstones presented to the emergency department with two days of right upper quadrant pain, fever, nausea and vomiting
Patients with acute cholecystitis typically present with pain similar to biliary colic, and often endorsing anorexia, nausea, vomiting, low-grade fever and leukocytosis.[2]
Murphy's sign, specific tenderness of the gallbladder noted during the ultrasound examination, has a sensitivity of 88% and a specificity of 80% for acute cholecystitis.[3]
Summary
Journal Journal of Education and Teaching in Emergency Medicine, 3(1) Chad Correa, BS* and Lindsey Spiegelman, MD^ *University of California, Riverside, School of Medicine, Riverside, CA ^University of California, Irvine, Department of Emergency Medicine, Orange, CA
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