Browse categories and answer follow-up questions to refine your symptom profile.
Immediate priorities
Stabilization and escalation
Airway and breathing compromise
If altered mental status or impending respiratory failure, escalate to resuscitation bay
If SpO2 < 92% or increased work of breathing, supplemental oxygen and ventilation support
Circulatory shock and sepsis
If SBP < 90 mmHg or MAP < 65 mmHg, initiate sepsis pathway
If lactate ≥ 2 mmol/L, sepsis physiology and perfusion reassessment trigger
If lactate ≥ 4 mmol/L or vasopressor requirement, ICU-level care trigger
Time-critical consult triggers
If peritonitis or suspected perforation, immediate surgical consult
If cholangitis suspected, urgent GI and surgery coordination for biliary decompression
If emphysematous cholecystitis suspected, emergent surgery trigger
Key decision points
Diagnostic framing
Acute cholecystitis syndrome
RUQ pain with systemic inflammation and supportive imaging
Complicated disease suspicion with organ dysfunction or severe local inflammation
Alternate biliary syndromes
Biliary colic without systemic inflammation
Choledocholithiasis pattern with cholestatic labs and jaundice
Acute cholangitis pattern with fever and jaundice plus systemic toxicity
Monitoring targets
Monitoring and targets
Hemodynamics
MAP ≥ 65 mmHg
Urine output ≥ 0.5 mL/kg/hour
Pain and nausea control
Analgesia response within 30-60 minutes
Emesis control to enable oral meds when appropriate
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.