Clinical Case Database / Category: Clinical Care
Clinical care of gall bladder disease
Publication details
AM Wood MRCS Ed, DJ Bell
Foundation Years Journal, volume 2, issue 7, p.317 (123Doc Education, London, September 2008)
Abstract
A 47-year-old Caucasian female secretary presents to her GP with a 2-week history of intermittent abdominal pain, each attack lasting up to 3 hours and gradually increasing in intensity. She is clinically obese and taking the combined oral contraceptive pill, having had three children. She has a 20-pack/day smoking history, and a reasonable diet, although it seems low in fibre. On admission to hospital her situation worsens. Her sclera are yellow, and she becomes pyrexial, with associated rigors. On examination she has pain in the right upper quadrant. ECG and chest X-ray show no obvious abnormalities.
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Authors
AM Wood MRCS Ed
ST3 Trauma and Orthopaedics
Borders General Hospital
Scotland
sandy@jobscore.co.uk
DJ Bell
4th Year Medical Student
University of Leeds
david.bell@ucl.ac.uk
References
1. Longmore M, Wilkinson I, Rajagopalan S. Oxford Handbook of Clinical Medicine 4th edn. 2004, Oxford University Press.
2. Parker R, Sharma A. General Medicine: Crash Course 2nd edn. 2005, Elsevier Mosbury.
3. Murray FE, et al. Cigarette smoking and parity as risk factors for the development of symptomatic gall bladder disease in women: results of the Royal College of General Practitioners’ oral contraception study, Gut, 1994, 35(1):107–111.
4. Garden OJ, Bradbury AW, Forsythe J. Principles and Practice of Surgery 4th edn. 2002, Churchill Livingstone.
5. Brooks DC. Current Review of Minimally Invasive Surgery (Soper NJ) 1998, Springer, 1-9.
6. McMahon AJ, et al. Impact of laparoscopic cholecystectomy: a populationbased study, Lancet, 2000, 11, 356(9242):1632–1637.
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About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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