Typical clinical features

See Figure 30.15 . Typical clinical features are:

acute onset severe pain postprandial or at night (often wakes 2-3 am)

constant pain (not colicky)

lasts 20 minutes to 2-6 hours maximal RUQ or epigastrium may radiate to tip of right shoulder or scapula painful episode builds to a crescendo for about 20 minutes; may recede or last for hours some relief by assuming flexed posture ± nausea and vomiting with considerable retching often a history of biliary pain (may be mild) or jaundice often precipitated by a fatty meal pain nay adíate to

Ft SllûuldÊr pam radiation to scapula localised tenderness (Murphy's sign)

Fig. 30.15 Typical site of pain of biliary colic and acute cholecystitis severe pain vomiting pain radiation pam radiation to scapula localised tenderness (Murphy's sign)

Fig. 30.15 Typical site of pain of biliary colic and acute cholecystitis

Baby Sleeping

Baby Sleeping

Everything You Need To Know About Baby Sleeping. Your baby is going to be sleeping a lot. During the first few months, your baby will sleep for most of theday. You may not get any real interaction, or reactions other than sleep and crying.

Get My Free Ebook


Post a comment