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RUQ PAIN WITH CHOLELITHIASIS
EVALUATION
DISPOSITION
MANAGEMENT
ADMITDISCHARGE
arrange ACSS clinic followup
SOURCE CONTROL + ANTIBIOTICS
ADDITIONAL RISK FACTORS - Obesity - Diabetes - Steroids - Previous upper abdominal surgery
ANTIBIOTIC OPTIONS - A: cefazolin, cefuroxime, ceftriaxone
for community acuqired cholecystitis - B: Meropenem, doripenem, pip-tazo,
cipro/levaquin/cefipime + flagyl for more severe disease or immunosuppression
- Vanco plus B for healthcare-associated infection
Dr. Knowlton, 2017
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