A diagnostic workup is based on the most likely diagnosis. In testing for<unk> , specifically, liver panel tests and pancreatic enzymes such as lipase will be within normal limits. There can be a mild elevation in alkaline phosphatase and bilirubin in some instances, such as cholecystitis. If gallstones are blocking other biliary tract areas causing pancreatic gallstones or choledocholithiasis, elevated liver panel, pancreatic enzymes, and bilirubin will be noted. Ultrasound is the diagnostic imaging of choice to examine for thickening of the gallbladder walls, polyps, pericholecystic fluid, and gallstones. A positive Murphy's sign may also be noted using the ultrasound transducer. Another imaging modality is using cholescintigraphy to examine hepatic function. This scan assesses if the gallbladder is functioning as it is supposed to with a controlled amount of hormone. In regards to a suspected choledocholithiasis, a endoscopic retrograde cholangiopancreatography (ERCP) is used in both the diagnosis and treatment as it can remove the stones that are blocking the bile ducts causing choledocholithiasis.
Gallbladder disease
Hepatolithiasis
Gallbladder cancer
Biliary disease
Common bile duct stone
Biliary colic
Biliary reflux
Liver cancer