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Severe complications affect only 1-3% of symptomatic gallstone patients
For symptomatic patients take a thorough history to include details of:
Perform a thorough examination to check for signs of associated complications, such as:
Uncomplicated biliary colic should reveal normal vital signs and physical examination. Also check for:
An initial clinical assessment will identify:
If there is suspicion of any of the following, consider urgent referral to secondary care Surgical Assessment Unit (SAU):
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This pathway was signed off by the NEW Devon CCG Western Locality Clinical Pathway Group.
Publication date: 10 February 2015
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