History of the patient is very important to recognize the gallstones (cholelithiasis). It plays 80% role to diagnose any condition. The gallstones may be asymptomatic.
Gallstones symptoms are pain in right hypochondrium which radiates to back of chest. Pain is colicky in nature and usually associated with nausea and vomiting and aggravated by fatty food and relieved by taking medicines. But pain ismore often dull and constant. Dyspepsia and flatulence
Clinical examination plays 10% role. Deep tenderness is present at right hypochondrium. Increased temperature of the body is also a sign. Gallbladder may be palpable if distended by an impacted stone in its neck.
Investigations play 10% role. Ultrasound of upper abdomen is a diagnostic tool of gallbladder stones. It shows presence of stones in the gall bladder with posterior shadowing. It also shows the anatomy of the gall bladder and the biliary tree and condition of the liver.
So the gallstones diagnosis is not difficult. Gallstone is common in females. The treatment of gallstones is the cholecystectomy.
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