Acute cholecystitis is an acute inflammation of the gallbladder commonly manifested by the following: anorexia. nausea. and vomiting; biliary colic; tenderness and rigidity the right upper quadrant (RUQ) elicited on palpation (e.g.. Murphys sign); fever; fat intolerance; and signs and symptoms of jaundice. Ecchymosis. petechiae. and coffee-ground emesis are clinical manifestations of esophageal bleeding. The coffee-ground appearance indicates old bleeding. Jaundice. dark urine. and steatorrhea are clinical manifestations of the icteric phase of hepatitis.
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