Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute onset of right upper quadrant (RUQ) abdominal pain, radiating to the right scapula/shoulder. Symptoms associated with nausea, vomiting, and low-grade fever. Pain is constant, exacerbated by fatty food ingestion. No history of jaundice, acholic stools, or dark urine.
Clinical Examination Findings
Patient appears in acute distress. Vitals: Tachycardic, febrile. Abdominal exam: Positive Murphy’s sign, localized tenderness and guarding in the RUQ. Bowel sounds present. No signs of generalized peritonitis or palpable mass.
Treatment Protocol
Admit for NPO status, IV fluid resuscitation, and broad-spectrum IV antibiotics. Analgesia as required. Surgical consultation for urgent/early laparoscopic cholecystectomy. Monitor CBC, LFTs, and serial abdominal ultrasounds.