How To Effectively Diagnose Cholecystitis

When it comes to diagnosing cholecystitis, there are several reliable methods that healthcare professionals commonly use. These approaches help ensure an accurate diagnosis and appropriate treatment plan.

Physical Examination
The first step in diagnosing cholecystitis involves a thorough physical examination by a doctor. During this assessment, tenderness in the upper right quadrant of the abdomen is often detected. In some cases, signs such as rebound tenderness or a positive Murphy's sign may also be present, which are strong indicators of gallbladder inflammation.

Imaging Tests For Structural Assessment
The next step typically involves imaging studies, such as an ultrasound or CT scan. These tools allow doctors to visualize the gallbladder and detect abnormalities like gallstones or an enlarged gallbladder. Ultrasound is often the first imaging test performed due to its accuracy and non-invasive nature.

Blood Tests To Detect Inflammation
In addition to imaging, laboratory tests are essential in confirming cholecystitis. A complete blood count (CBC) can reveal elevated white blood cell counts and increased neutrophil levels, which are signs of infection or inflammation. C-reactive protein (CRP) levels may also be elevated, further supporting the diagnosis. Liver function tests are often conducted as well, since mild jaundice or abnormal liver enzymes can occur in some cases.

Advanced Imaging For Further Evaluation
If more detailed information is needed, especially regarding the bile ducts, a magnetic resonance imaging (MRI) scan may be recommended. This advanced imaging technique provides a clear view of the intrahepatic and extrahepatic bile ducts, common bile duct, and pancreatic duct, helping to identify any stones or blockages that might be contributing to the condition.

These diagnostic methods, when used together, offer a comprehensive approach to identifying cholecystitis and guiding effective treatment.