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Top 5 things to know about CHOLECYSTITIS for the ABSITE exam

Top 5 things to know about CHOLECYSTITIS for the ABSITE exam

1. PATHOPHYSIOLOGY:  It is  caused by obstruction of the cystic duct by a gallstone. It results in gallbladder wall distention and wall inflammation

2. SYMPTOMS:  RUQ pain, referred pain to the right shoulder and scapula, nausea and vomiting, loss of appetite. Attacks frequently occur after a fatty meal, and pain is persistent (unlike biliary colic).

3. PHYSICAL EXAM: Murphy’s sign – patient resists deep inspiration with deep palpation to the RUQ secondary to pain

4. WORKUP: Ultrasound is 95% sensitive for picking up stones.  It is the best initial evaluation test for jaundice or RUQ pain. Findings suggestive of acute cholecystitis are:  gallstones, gallbladder wall thickening (>4mm), pericholecystic fluid, dilated CBD (>8mm) suggests CBD stone and obstruction.

5. TREATMENT: Cholecystectomy, ERCP if concerned for common bile duct stone.

SURGERY RESIDENTS
ABSITE REVIEW BOOKS
ABSITE KILLER ORGANIZED BY TOPIC .
ABSITE KILLER Q&A .
ABSITE REVIEW: 1 WEEK STUDY GUIDE .
Schwartz’s Principles of Surgery .
Rush Review of Surgery .
The Practice ABSITE Question Book  .
The ABSITE Review .

The ABSITE Review by Steven M Fiser.
The Surgical Review: An Integrated Basic and Clinical Science Study Guideal Review .
Rush University Medical Center Review of Surgery .
The Practice ABSITE Question Book by Steven M. Fiser
The Comprehensive ABSITE Review (Fiser, Comprehensive ABSITE Review) by  Steven M Fiser
The Senior ABSITE Review by Steven M Fiser
The Johns Hopkins ABSITE Review Manual (American Board of Surgery In-Training Examination)
First Aid for the® ABSITE (FIRST AID Specialty Boards)
General Surgery ABSITE and Board Review, Fourth Edition: Pearls of Wisdom
General Surgery Review (For The Written Boards And Absite)
Absite Review, Simplified
Review of Surgery: Basic Science and Clinical Topics for ABSITE
Clinical Review of Surgery – ABSITE Edition
Pass the ABSITE!

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