Cholangitis history and symptoms: Difference between revisions
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**[[Cholangiogram]] | **[[Cholangiogram]] | ||
*History of [[HIV]] or [[AIDS]] | *History of [[HIV]] or [[AIDS]] | ||
**AIDS-related cholangitis is characterized by extrahepatic [[ | **AIDS-related cholangitis is characterized by extrahepatic biliary [[edema]], [[ulceration]], and obstruction. | ||
==Symtoms== | ==Symtoms== | ||
Revision as of 20:01, 20 September 2016
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Farwa Haideri [2]
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Overview
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.
History
A 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 include:[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.[1][2]
- 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