Clinical manifestations-cholelithiasis

• Asx in ~80%. Biliary pain develops in 1–4%/y. Once sx, rate of complications ~1–3%/y.

• Biliary pain = episodic RUQ or epigastric pain; begins abruptly, continuous, resolves slowly and lasts 30 min–3 h; ± radiation to scapula; precip by fatty foods; nausea

• Physical exam: afebrile, ± RUQ tenderness or epigastric pain