Cholangitis history and symptoms: Difference between revisions
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==History== | ==History== | ||
Obtaining the history is the most important aspect of making a diagnosis of cholangitis. It provides insight into cause, precipitating factors and associated comorbid conditions. Complete history will help determine the correct therapy and helps in determining the prognosis. The patient's medical history is helpful. Specific areas of focus when obtaining the history, are outlined below:<ref | Obtaining the history is the most important aspect of making a diagnosis of cholangitis. It provides insight into cause, precipitating factors and associated comorbid conditions. Complete history will help determine the correct therapy and helps in determining the prognosis. The patient's medical history is helpful. Specific areas of focus when obtaining the history, are outlined below:<ref>{{Citation | ||
| last1 = Afdhal | |||
| first1 = NH | |||
| last2 = Goldman | |||
| first2 = L | |||
| last3 = Schafer | |||
| first3 = Al | |||
| lastauthoramp = yes | |||
| title = Goldman's Cecil Medicine | |||
| publisher = Saunders Elsevier | |||
| place = Philadelphia, PA | |||
| edition = 24 | |||
| year = 2011 | |||
}}</ref> | |||
*[[Gallstones]] and [[common bile duct]] stones | *[[Gallstones]] and [[common bile duct]] stones | ||
*Recent [[cholecystectomy]] | *Recent [[cholecystectomy]] | ||
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==Symtoms== | ==Symtoms== | ||
Associated symptoms can provide clues as to the cause of cholangitis.<ref | Associated symptoms can provide clues as to the cause of cholangitis.<ref>{{Citation | ||
| last1 = Afdhal | |||
| first1 = NH | |||
| last2 = Goldman | |||
| first2 = L | |||
| last3 = Schafer | |||
| first3 = Al | |||
| lastauthoramp = yes | |||
| title = Goldman's Cecil Medicine | |||
| publisher = Saunders Elsevier | |||
| place = Philadelphia, PA | |||
| edition = 24 | |||
| year = 2011 | |||
}}</ref> <ref name="urlAscending cholangitis - Wikipedia, the free encyclopedia">{{cite web |url=https://en.wikipedia.org/wiki/Ascending_cholangitis#Signs_and_symptoms |title=Ascending cholangitis - Wikipedia, the free encyclopedia |format= |work= |accessdate=April 22, 2016}}</ref><ref name="book12">{{Citation | |||
| last1 = Liu | | last1 = Liu | ||
| first1 = Chi-Leung. | | first1 = Chi-Leung. | ||
Revision as of 18:51, 13 September 2016
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
History
Obtaining the history is the most important aspect of making a diagnosis of cholangitis. It provides insight into cause, precipitating factors and associated comorbid conditions. Complete history will help determine the correct therapy and helps in determining the prognosis. The patient's medical history is helpful. Specific areas of focus when obtaining the history, are outlined below:[1]
- Gallstones and common bile duct stones
- Recent cholecystectomy
- Endoscopic manipulation or endoscopic retrograde cholangiopancreatography (ERCP)
- History of HIV or AIDS
- AIDS-related cholangitis is characterized by extrahepatic biliary edema, ulceration, and obstruction.
Symtoms
Associated symptoms can provide clues as to the cause of cholangitis.[2] [3][4]
- Acholic or hypocholic stools
- Confusion
- Malaise
- Nausea and vomiting
- Occult sepsis
- Pain on the upper right side or upper middle part of the abdomen.
- It may be felt in the back or below the right shoulder blade.
- The pain may come and go and feel sharp, cramp-like, or dull.
- Paralytic ileus
- Pruritus
References
- ↑ Afdhal, NH; Goldman, L & Schafer, Al (2011), Goldman's Cecil Medicine (24 ed.), Philadelphia, PA: Saunders Elsevier
- ↑ Afdhal, NH; Goldman, L & Schafer, Al (2011), Goldman's Cecil Medicine (24 ed.), Philadelphia, PA: Saunders Elsevier
- ↑ "Ascending cholangitis - Wikipedia, the free encyclopedia". Retrieved April 22, 2016.
- ↑ Liu, Chi-Leung. & Fan, Sheung-Tat. (2001), Surgical Treatment: Evidence-Based and Problem-Oriented., Munich, Germany: Zuckschwerdt Verlag