Biliary Colic vs Acute Cholecystitis vs Acute Cholangitis

Confused by RUQ pain? Master the DIFFERENCES between biliary colic, acute cholecystitis, and acute cholangitis in this evidence-based lecture by Dr. Mohammed Osama Elmisiry, MBBCh.

Perfect for residents, medical students, and emergency clinicians!

🚑 What You'll Learn:

🔹 Key pathophysiology behind gallstone diseases

🔹 Stepwise approach in the ER: History, Exam, Labs, and Imaging

🔹 Distinguishing features: Duration, Fever, Jaundice, Murphy’s Sign

🔹 Management pearls: When to operate and when to observe

🔹 Red flags for acute cholangitis and sepsis

📚 Includes:

Tokyo Guidelines Criteria

Differentiation tables

Practical mnemonics and drug regimens

Introduction & Definitions

Physiology of Gallbladder

Etiology

Types of Gallstones

Risk Factors

Clinical Features

Complications of Gallstones

Approach in the ER?

Murphy's Test

Lab & Imaging to order

Asymptomatic Cholelithiasis

Biliary Colic

Acute Cholecystitis

Acute Cholangitis

Summary

Differential Diagnosis