Hey, what's going on guys and welcome to episode 49 of the Physician

System boards.com podcast. Today we're actually going to go over three

separate topics. We're going to go over acupolysistitis, colangitis, and then finally we're going to finish off the

podcast with cholite lithiasis. So we're going to just jump right in today and

let's start talking about colesistitis.

Now, colesistitis is simply inflammation of the gallbladder.

That's all it is, right?

We have an inflamed gallbladder.

Now usually, this is gonna be a result from gallstones and complete obstruction of

the cystic duct. This in itself is going to cause inflammation of the gallbladder.

Patients are going to present pretty classically. You're going to have right up a

quadrant pain with or without fever.

And they may or may not have some nausea, some vomiting associated with it, but really the main thing is going to be right

up a quadrant pain. Now when you're actually doing a physical exam you're going to look for something called a Murphy sign.

And Murphy sign is not simply pain when you palpate the right upper quadrant.

A lot of people think it's simply having a little bit of pain or having severe pain when you

palpate that right upper quadrant, right?

And that right of a quadrant is right where your liver and the gallbladder reside.

But no, Murphy sign, you're going to have the patient lay down,

you're going to start palpating that right up a quadrant and you're going to have

them take a deep breath in. Now if they actually stop breathing because of the pain that's a positive Murphy sign.

So cessation of inspiration is needed to deem this a positive Murphy sign.

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