Biliary Colic

‍‍HISTORY: 
‍‍﻿‍﻿ pain for ‍﻿ ﻿
‍‍Onset: ‍﻿, following ‍﻿﻿
‍‍Radiation: ‍﻿﻿
‍‍Severity: ‍﻿, ‍﻿ / 10
‍‍Type: ‍﻿﻿
‍‍Pattern: ‍﻿﻿
‍‍Episode duration: ‍﻿ ﻿
‍‍Worsening factors: ‍﻿﻿
‍‍Treatments tried: ‍﻿, ‍﻿﻿
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‍‍‍‍Other elements:
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‍‍EXAM: 
‍‍General appearance: ﻿
‍‍Vital signs: ‍﻿, BP ‍﻿, HR ‍﻿, RR ‍﻿, SpO2 ‍﻿ %, Temp ‍﻿°
‍‍Neck: ﻿
‍‍Heart: , ﻿
‍‍Lungs: , ‍﻿﻿
‍‍Abdomen: ,  ‍﻿, , ‍﻿﻿
‍‍Extremities: ‍﻿, ‍﻿, cap refill ‍﻿, pulses ‍﻿, ‍﻿﻿
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‍‍ASSESSMENT: 
‍‍﻿ ‍﻿﻿
‍‍DDx: ‍﻿﻿
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‍‍PLAN: 
‍‍- Blood work: ‍﻿, ‍﻿, ‍﻿, ‍﻿, ‍﻿, ‍﻿﻿
‍‍- Abdominal ultrasound
‍‍- CT scan of abdomen
‍‍- HIDA scan
‍‍- MRCP
‍‍- ERCP
‍‍- ‍﻿﻿
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‍‍- ‍﻿, ‍﻿ if cholecystitis suspected
‍‍- Low fat diet
‍‍- Increase fluid intake
‍‍- Avoidance of rapid weight loss
‍‍- Referral to general surgeon
‍‍- Referral to gastroenterologist
‍‍- Follow-up in ‍﻿ ‍﻿﻿
‍‍- Return if pain worsens, fever develops, jaundice appears, or if new symptoms develop such as vomiting or changes in stool color
‍‍- Go to ER if severe abdominal pain, severe vomiting, or fever