A diagnosis of haemorrhagic cholecystitis is difficult to make as it is rare and mimics other common disorders. We present three patients who presented with haemorrhagic cholecystitis, two of whom were on anti-coagulation at presentation. All 3 patients were treated conservatively, 2 with percutaneous cholecystostomy drainage and 1 patient with intravenous antibiotics. There are few guidelines on the management of such a condition.

A re-audit was conducted 4 weeks after the new AMU opened, 88 patients were audited over a 1-week period. Following a grand round presentation and internal communications to the medical teams, there was significant reduction in the percentage of rejected referrals (18%), and onward referrals to other specialties (19%). Although the percentage of patients seen in AEC post discharge from medical ward had gone up to 32%; 75% of these patients were discharged from the acute medical wards, aiding in admission reduction and reduced length of stay. Unfortunately, there was an increase in the number of referrals to follow-up blood test results to 28%.

No abstract

No abstract