{"id":324,"date":"2017-03-26T12:45:08","date_gmt":"2017-03-26T12:45:08","guid":{"rendered":"http:\/\/papergp.com\/index.php\/gi-and-renal\/gallstones\/"},"modified":"2018-02-14T08:14:57","modified_gmt":"2018-02-14T08:14:57","slug":"gallstones","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/gi\/gallstones\/","title":{"rendered":"Gallstones"},"content":{"rendered":"<div class=\"content-box-blue\">\n<h4><strong>Data gathering<\/strong><\/h4>\n<ul>\n<li>Red flags &#8211; fever, weight loss, yellowing of skin<\/li>\n<li>Examine &#8211; temp, pulse, BP, abdominal exam<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4><strong>Clinical management<\/strong><\/h4>\n<ul>\n<li>Investigations\n<ul>\n<li>Bloods &#8211; FBC, U+Es, LFTs, CRP<\/li>\n<li>USS abdo<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Explanation\n<ul>\n<li>the gallbladder helps make bile which helps with digestion of food, sometimes this bile can become small stones (or a large stone). In most cases, this does not cause symptoms but some people have symptoms because the stone gets trapped in a duct causing pain<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Treatment\n<ul>\n<li>Conservative &#8211; can be left alone if asymptomatic<\/li>\n<li>Refer &#8211; cholecystectomy<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Follow-up \/ Safety net &#8211; if fevers\/worsening pain\/yellowing of skin, rw again<\/li>\n<\/ul>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Data gathering Red flags &#8211; fever, weight loss, yellowing of skin Examine &#8211; temp, pulse, BP, abdominal exam &nbsp; Clinical management Investigations Bloods &#8211; FBC, U+Es, LFTs, CRP USS abdo Explanation the gallbladder helps make bile which helps with digestion of food, sometimes this bile can become small stones (or a large stone). In most &hellip; <a href=\"https:\/\/papergp.com\/index.php\/gi\/gallstones\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Gallstones<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":315,"menu_order":2,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-324","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/324","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=324"}],"version-history":[{"count":4,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/324\/revisions"}],"predecessor-version":[{"id":1500,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/324\/revisions\/1500"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/315"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=324"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}