The Rational Clinical Examination
David L. Simel, Drummond Rennie
Acute Cholecystitis
Robert L. Trowbridge, Kaveh G. Shojania, Amy Rosenthal
Clinical Scenario
Topics Discussed:
cholecystitis, acute
Excerpt:
"A 52-year-old man presents to the emergency department with a
6-hour history of dull, epigastric discomfort. The pain began several hours
after lunch and did not intensify with eating dinner, although his
appetite was poor. He is mildly nauseated and feels warm but denies
emesis, diarrhea, dyspnea, chest pain, fever, chills, or previous
episodes of a similar pain. The pain neither radiates nor changes
with his position...."
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