Signs and Evidence

Making clinical sense of scientific data


Beware of the limitations of this tool


Calculated pretest probability: 8.4 %
Relevant inclusion criteria: Acute abdominal pain 


1Colic pain
2Radiating pain

Clinical signs

4Rebound tenderness
5Right upper quadrant pain

To further investigations

Sources used:

1.Abraham S et al. Surgical and Nonsurgical Management of Gallstones. Am Fam Physician. 2014 May 15;89(10):795-802
2.Shea JA et al. Revised estimates of diagnostic test sensitivity and specificity in suspected biliary tract disease. Arch Intern Med. 1994;154(22):2573–2581
3.Kola S et al. Role of Ultrasonography in the diagnosis of the gallstones. Radiology 2013;4(10)
4.Caporale N et al. Acute abdominal pain in the emergency department of a university hospital in Italy. United European Gastroenterology Journal 2016, Vol. 4(2) 297–304