166. Intermittent Abdominal Pain in a Female

  1. Christopher P. Holstege MD1,2,3,
  2. Alexander B. Baer MD1,4,
  3. Jesse M. Pines MD, MBA, MSCE5,6 and
  4. William J. Brady MD7,8,9

Published Online: 3 AUG 2011

DOI: 10.1002/9781444397994.ch166

Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition

Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition

How to Cite

Holstege, C. P., Baer, A. B., Pines, J. M. and Brady, W. J. (eds) (2011) Intermittent Abdominal Pain in a Female, in Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition, Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444397994.ch166

Editor Information

  1. 1

    Division of Medical Toxicology, University of Virginia School of Medicine, Charlottesville, VA, USA

  2. 2

    Blue Ridge Poison Center, University of Virginia School of Medicine, Charlottesville, VA, USA

  3. 3

    Departments of Emergency Medicine & Pediatrics, University of Virginia School of Medicine, Charlottesville, VA, USA

  4. 4

    Department of Emergency Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA

  5. 5

    Center for Health Care Quality, George Washington University, Washington, DC, USA

  6. 6

    Departments of Emergency Medicine and Health Policy, George Washington University, Washington, DC, USA

  7. 7

    Department of Emergency Medicine, University of Virginia, Charlottesville, VA, USA

  8. 8

    Center for Emergency Management, University of Virginia Health System, Charlottesville, VA, USA

  9. 9

    Charlottesville-Albemarle Rescue Squad & Albemarle County, Fire Rescue, Charlottesville, VA, USA

Publication History

  1. Published Online: 3 AUG 2011
  2. Published Print: 12 AUG 2011

ISBN Information

Print ISBN: 9781444333473

Online ISBN: 9781444397994

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Keywords:

  • Case 56, intermittent abdominal pain - in a female;
  • diagnosis - acute cholecystitis;
  • images, small shadowing gallstone - in left image, large gallstone in fundus in right image;
  • thickened gallbladder wall - nonsurgical, edematous states, as renal disease, congestive heart failure;
  • wall thickening, typically uniform - gallbladder, wall maintaining structural integrity;
  • ambulatory setting – cholecystitis, rarely occurring without gallstones;
  • examiner, to check for presence of sonographic Murphy's sign - tenderness;
  • nuclear scintigraphy, accurate in diagnosis of cholecystitis - overlooking stones;
  • biliary pain, occurring in right upper quadrant - or in midepigastrium;
  • pain, that occurs “in waves” - more likely to be non-biliary in origin

Summary

This chapter contains sections titled:

  • Further reading