What are S&S of cholelithiasis? Dx?

Most patients are asymptomatic. Symptomatic patients classically complain of severe RUQ pain that radiates to the back, epigastrium or left upper quadrant (LUQ) The pain tends to be worse after eating (especially after fatty foods) and may be associated with nausea and vomiting. The symptom complex is called biliary colic and typically resolves over a few hours. DIAGNOSIS Often incidental, as most patients are asymptomatic. Abdominal Ultrasound: Procedure of choice; classic findings include an acoustic shadow (“headlight”) and gravity-dependent movement of gallstones with patient repositioning.