Cholelithiasis

Alternate Name: Gallstones

Test:

WCC (H), S.bilirubin (H or N), ALP (VH), AST (H),ALT (H), S.amylase (N or H), BSP (H), S.GGT (H)

Sign:

Abdominal mass, Murphy's law

Dd:

Hepatitis, hepatic malignancy, pancreatic carci-noma

Phys:

Gallstones may pass asymptomatically. Only im­pacted stones cause symptoms and exert back pressure on the liver. They may cause minor trau­ma to the pancreas when low in the common bile duct