Stones in common bile duct (CBD)
Several types: cholesterol (majority), calcium bilirubinate or pigment, and mixed stones
System(s) affected: gastrointestinal; hepatobiliary
Synonym(s):...
Asymptomatic (30–50%)
Right upper quadrant (RUQ) pain:
Moderate/intense spasmodic pain, often intermittent, transient, recurrent (biliary colic)
May radiate to right shoulder/back, not...
Initiate broad-spectrum antibioti...
Serial liver function tests and bilirubin levels, W...
Cox MR, Eslick GD, Padbury R, eds. The Management of Gallstone Disease: A Practical and Evidence-Based Approach. New York, NY: Springer; 2018. [View Abstract on OvidMedline]
Giljac...
Cholangitis, Acute; Cholecystitis; Cholelithiasis
Algorithm: Hyperbilirubinemia and Jaundice
K80.50 Calculus of bile duct w/o cholangitis or cholecyst w/o obst
K80.51 Calculus of bile duct w/o cholangitis or cholecyst w obst
K80.40 Calculus of bile duct w cholecystitis, unsp, w/o obs...
Stones in the CBD are either primary (originate within the CBD) or secondary (migrate from the gallbladder).
Cholangiography is gold standard for diagnosis.
MRCP is the most accurate non...
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