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Acute “calculus” cholecystitis: gallstones, anterior wall > 3mm and + sonographic murphys sign. “Integral” in managing
Acute “calculus” ... cholecystitis: ... #Gallbladder #Cholecystitis
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 Causes of Hematuria - Differential Diagnosis Renal: - Glomerular - IgA Nephropathy, Thin basement membrane, Alport syndrome,
Causes of Hematuria ... or other tumor, Calculi ... - Malignancy, Calculi ... Schistomiasis, Malignancy, Calculi ... Differential #Diagnosis #Causes
Imaging Modalities for Renal Calculus AXR. KUB - Good far calcium-containing stones useful when limited radiation dose
Modalities for Renal Calculus ... to identify non-calculus ... causes of flank ... Useful for non-calculus ... causes of obstruction
Causes of Gallbladder Wall Thickening Primary Wall Thickening: 1 . Acute calculous cholecystitis 2. Acute acalculous cholecystitis 3. Chronic cholecystitis 4.
Causes of Gallbladder ... Acute calculous cholecystitis ... Acute acalculous cholecystitis ... Chronic cholecystitis ... Wall #Thickening #Causes
Types of Renal Calculi Calcium oxalate - Interstitial apatite plaque, Low urine volume, Increased urinary calcium excretion,
Types of Renal Calculi ... heart failure #Calculi ... differential #diagnosis #causes ... #calculus
Causes of Hematuria - Differential Diagnosis Algorithm Red blood cells on urine microscopy. Must exclude false positives
Causes of Hematuria ... Tubulolnterstitial • Calculi ... • BPH • Calculi ... RBCs and/or RBC casts ... Diagnosis #Algorithm #Causes
Diseases of the Biliary Tract Asymptomatic gallstones - Asymptomatic Symptomatic gallstones - Biliary pain Cholesterolosis of gallbladder - Usually
Adenomyomatosis - May cause ... cancer Acute cholecystitis ... quadrant pain, nausea ... sign Chronic cholecystitis ... quadrant pain, nausea
Gallstone Diseases 1. Asymptomatic Stones 75% 2. Biliary Pain 20% 3. Acute Cholecystitis 10% 4. Mirizzi's Syndrome < 0.1% 5. Cholangitis/
Acute Cholecystitis ... differential #diagnosis #causes
Chest Pain - Differential Diagnosis Framework Cardiovascular Causes of Chest Pain: • Myocardium: - Myocarditis - CAD/ACS - Valvulopathy - Myopericarditis
Cardiovascular Causes ... Tamponade Pulmonary Causes ... Pneumothorax Other Causes ... • Gallbladder: Cholecystitis ... Differential #Diagnosis #Causes
Algorithm and Differential Diagnosis of Macroscopic Hematuria Important Historical Elements: - Painless: suggests malignancy - Painful: suggests calculi/infection - Urinalysis:
Painful: suggests calculi ... RBC’s, RBC/WBC casts
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