Gall Bladder Disease (Gallstones)

Availability

North South North West Statewide

Pre-referral work-up

History

All referrals should comply to referral standards and include in particular:

  • Onset, frequency and severity of symptoms
  • Episodes of jaundice
  • Drugs (including anticoagulants) and allergies
  • Relevant past history, e.g. major abdominal surgery

Tests

Tests required:

  • Ultrasound
  • LFTs

Interim/GP management

To refer a patient with this condition, please see the General Surgery clinic page for the full referral process and templates.

  • Low fat diet
  • Advice about management of the symptoms of biliary colic

For more information please see the Tasmanian Health Pathways website.

Emergency

Obstructive jaundice

Cholangitis

Cholecystitis

Intractable colic

Urgent / category 1

Frequent episodes severe biliary colic

Semi-urgent / category 2

Recurrent moderate biliary colic

Routine / category 3

Occasional biliary colic

Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

Emergency:

Proceed to Emergency Department (ED). Please contact ED Medical Officer in Charge:
LGH ED – Phone: (03) 6777 6405  Fax: (03) 6777 5201
MCH ED – Phone: (03) 6478 5120  Fax: (03) 6441 5923
NWRH ED – Phone: (03) 6493 6340  Fax: (03) 6464 1926
RHH ED - Phone: (03) 6166 6100  Fax: (03) 6173 0489

Urgent:

For urgent referrals call the RHH switch on 6166 8308 and ask for the nurse in charge of surgical clinics or the relevant consultant to expedite the consultation.

We will endeavour to see these patients within four weeks, or sooner if clinically indicated.

Semi-urgent:

We will endeavour to see these patients within 12 weeks

Routine:

Next available appointment