28/10/2025
Here's a quick tip from the tutor on our Complex Medicine Advance25 course - a second look at those choleliths could change your diagnosis plan...
Cholelithiasis is not uncommonly identified when diagnostic imaging is performed for another reason. The clinician then needs to decide if the choleliths are clinically important or could they be contributing to the patient’s clinical or biochemical abnormalities.
Choleliths become clinically important under two circumstances 1) causation of obstructive disease, or 2) nidus for persistent infections. Patients presenting with obstructive disease usually have abdominal pain, anorexia, lethargy, jaundice and pyrexia. Vomiting and diarrhoea can also be present alongside moderate to severe increases in liver enzymes.
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25 Hours of Fully Flexible Online CPD / CE This course starts on Tuesday 28th October 2025, with the last session taking place on Friday 5th December 2025. This course is for you if you are an Advanced Practitioner or you're at that level, and you want to broaden and deepen your knowledge in a varie...