Cholelithiasis

3. You order an abdominal ultrasound on a patient to examine some abdominal swelling. The patient denies pain, nausea, vomiting. On the ultrasound you incidentally notice multiple large stones in the gallbladder, and is diagnosed with cholelithiasis. What is the best management option for this patient's cholelithiasis?
4. The majority of patients with cholelithiasis present this way.
6. A 44 year old female presents complaining RUQ pain and nausea which began shortly after she ate fast food. She reports previous episodes of similar symptoms and has had enough of this pain. She decides she wants surgery. What is the procedure of choice?
7. What is the test of choice to evaluate cholelithiasis?
8. The majority of Gallstones are made of this.
9. Gallstones in the gallbladder without any signs of inflammation is known as.

1. Patient has gallstones which have moved to the common bile duct, causing ductal dilation. What is their diagnosis?
2. A 42 year old woman presents with a fever and abdominal pain. She says she has had similar pain in the past, but reports this time the pain is more severe and has not improved since she ate 4 hours ago. She also admits to nausea and vomiting. Vital signs are T 101.7°F, HR 110, BP 130/88 mm Hg, and RR 20. She is tender to palpation in the RUQ. Which of the following is the most likely diagnosis?
5. Espisodic, abrupt RUQ/epigastric painthat is associated with cholelithiasis