Gallbladder =========== þ Analgesia: - Droperidol is anecdotally effective for biliary colic. þ Cholecystitis: - can use piperacillin (Pipracil) alone, or cefoperazone (Cefobid) alone and don't have to add an aminoglycoside. [Pitt HA, Muller EL, Thompson JE Jr, Doty JE, Mann LL, Manchester B. Surg Gyn Ob 1987;165:285.] þ Charcot's Triad (for ascending cholangitis): - fever, jaundice, and right upper quadrant pain - is noted in only 25% of patients with ascending cholangitis. Ref: Tintinalli 4th ed. p 497 þ Medical Treatment for Gallbladder Disease: - Oral bile acid treatment with chenodeoxycholic acid or ursodeoxycholic acid may be used for radiolucent cholesterol stones that are small (less than 1.5 cm). Only 10-15% of patients qualify based on these criteria, and only 60% of those who undergo therapy will have complete resolution or their stones. Ref: Tintinalli 4th ed. p 498