Jonathan Manheim

All articles by Jonathan Manheim


Cholecystitis I. What every physician needs to know. Until cholecystectomy is performed, acute cholecystitis is a clinical diagnosis. The classic syndrome involves right upper quadrant (RUQ) pain, fever and leukocytosis, which is caused by inflammation and/or infection of the gallbladder. Although obstruction of the cystic duct is often associated, it is not synonymous with cholecystitis.…

Cholelithiasis (gallstones)

I. What every physician needs to know. Cholelithiasis, also known as gallstones, can be symptomatic or asymptomatic. Asymptomatic gallstones may be found incidentally on abdominal computed tomography (CT) or abdominal ultrasound (US) scan and generally warrant no further work-up or treatment. Symptomatic uncomplicated gallstones are generally diagnosed clinically. Biliary colic is the classic presentation of…

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