증례 challenge · 외과 · 간담도 · 응급 · teaching

급성처리 경로 · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on TG18 / WSES

Case #1외과 · 간담도 · 응급

📋 Case data

TG18의심 / 확진
TG18III 등급(중증)

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 2 · TG18

TG18 진단 기준(A 국소 염증 + B 전신 염증 + C 영상)에 부합합니까?

💡 A 국소 염증: Murphy 징후, 우상복부 통증·압통·종괴. B 전신 염증: 발열, CRP 상승, 백혈구 상승. C 영상(초음파·CT·MRCP): 담낭벽 두께 ≥4 mm, 담낭 확대(장축 ≥8 cm·단축 ≥4 cm), 결석·부유물, 주위 액체. 의심 = A + B. 확진 = A + B + C.

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.