Cholangitis history and symptoms: Difference between revisions
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Obtaining a thorough and accurate history is the most important aspect of making a diagnosis of cholangitis. It provides insight into cause, precipitating factors, and associated comorbid conditions. | Obtaining a thorough and accurate 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 positive history of [[gallstones]] and [[common bile duct]] stones, recent [[cholecystectomy]], endoscopic manipulation or [[endoscopic retrograde cholangiopancreatography]] (ERCP), [[cholangiogram]] and history of [[HIV]] or [[AIDS]] | ||
A complete history will help determine the appropriate therapy and prognosis. | |||
*Symptoms of cholangitis include:<ref name="book123">{{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="book12">{{Citation | |||
| last1 = Liu | |||
| first1 = Chi-Leung. | |||
| last2 = Fan | |||
| first2 = Sheung-Tat. | |||
| lastauthoramp = yes | |||
| title = Surgical Treatment: Evidence-Based and Problem-Oriented. | |||
| publisher = Zuckschwerdt Verlag | |||
| place = Munich, Germany | |||
| year = 2001 | |||
}}</ref> | |||
*Acholic or hypocholic stools | |||
*[[Confusion]] | |||
*[[Malaise]] | |||
*[[Nausea]] and [[vomiting]] | |||
*Occult [[sepsis]] | |||
*Pain on the upper right side or upper middle part of the [[abdomen]] | |||
**May be felt in the back or below the right shoulder blade | |||
**May come and go and feel sharp, cramp-like, or dull | |||
*[[Paralytic ileus]] | |||
*[[Pruritus]] | |||
===History=== | |||
A complete history will help determine the appropriate therapy and prognosis. A positive history of the following is suggestive of cholangitis:<ref name="book123">{{Citation | |||
| last1 = Afdhal | | last1 = Afdhal | ||
| first1 = NH | | first1 = NH | ||
| Line 26: | Line 63: | ||
*History of [[HIV]] or [[AIDS]] | *History of [[HIV]] or [[AIDS]] | ||
**AIDS-related cholangitis is characterized by extrahepatic biliary [[edema]], [[ulceration]], and obstruction. | **AIDS-related cholangitis is characterized by extrahepatic biliary [[edema]], [[ulceration]], and obstruction. | ||
==Symptoms== | |||
Associated symptoms can provide indications to the cause of cholangitis.<ref name="book123">{{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="book12">{{Citation | |||
| last1 = Liu | |||
| first1 = Chi-Leung. | |||
| last2 = Fan | |||
| first2 = Sheung-Tat. | |||
| lastauthoramp = yes | |||
| title = Surgical Treatment: Evidence-Based and Problem-Oriented. | |||
| publisher = Zuckschwerdt Verlag | |||
| place = Munich, Germany | |||
| year = 2001 | |||
}}</ref> | |||
*Acholic or hypocholic stools | |||
*[[Confusion]] | |||
*[[Malaise]] | |||
*[[Nausea]] and [[vomiting]] | |||
*Occult [[sepsis]] | |||
*Pain on the upper right side or upper middle part of the [[abdomen]] | |||
**May be felt in the back or below the right shoulder blade | |||
**May come and go and feel sharp, cramp-like, or dull | |||
*[[Paralytic ileus]] | |||
*[[Pruritus]] | |||
===Common Symptoms=== | |||
Common symptoms of cholangitis include: | |||
*[[Abdominal pain]] in the right upper quadrant | |||
*[[Fever]], maybe associated with [[rigors and chills]] | |||
*[[Jaundice]]/ yellowish discoloration of skin and darkening of urine | |||
===Less Common Symptoms=== | |||
Less common symptoms of cholangitis include | |||
*[[Confusion]] | |||
==Symptoms== | ==Symptoms== | ||
Revision as of 15:27, 23 October 2017
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 a thorough and accurate history is the most important aspect of making a diagnosis of cholangitis. It provides insight into cause, precipitating factors, and associated comorbid conditions.
- A positive history of gallstones and common bile duct stones, recent cholecystectomy, endoscopic manipulation or endoscopic retrograde cholangiopancreatography (ERCP), cholangiogram and history of HIV or AIDS
- Symptoms of cholangitis include:[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
- May be felt in the back or below the right shoulder blade
- May come and go and feel sharp, cramp-like, or dull
- Paralytic ileus
- Pruritus
History
A complete history will help determine the appropriate therapy and prognosis. A positive history of the following is suggestive of cholangitis:[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.
Symptoms
Associated symptoms can provide indications 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
- May be felt in the back or below the right shoulder blade
- May come and go and feel sharp, cramp-like, or dull
- Paralytic ileus
- Pruritus
Common Symptoms
Common symptoms of cholangitis include:
- Abdominal pain in the right upper quadrant
- Fever, maybe associated with rigors and chills
- Jaundice/ yellowish discoloration of skin and darkening of urine
Less Common Symptoms
Less common symptoms of cholangitis include
Symptoms
Associated symptoms can provide indications 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
- May be felt in the back or below the right shoulder blade
- May come and go and feel sharp, cramp-like, or dull
- Paralytic ileus
- Pruritus