Cholangitis history and symptoms: Difference between revisions
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{{CMG}}; {{AE}} {{FH}} | |||
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{{Cholangitis}} | {{Cholangitis}} | ||
==Overview== | ==Overview== | ||
Obtaining a thorough and accurate history is the most important aspect of making a diagnosis of cholangitis. | Obtaining a thorough and accurate history is the most important aspect of making a diagnosis of cholangitis. 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 [[fever]], [[abdominal pain]], [[nausea and vomiting]], [[Jaundice|jaundice/yellowish discoloration of skin]], [[acholic stools]]/pale stools, [[pruritus]], [[malaise]], and [[Confusion]]. | ||
== History and Symptoms == | |||
*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 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 [[fever]], [[abdominal pain]], [[nausea and vomiting]], [[Jaundice|jaundice/yellowish discoloration of skin]], [[acholic stools]]/pale stools, [[pruritus]], [[malaise]], and [[Confusion]]. | |||
*Symptoms of cholangitis include | |||
===History=== | ===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 | 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 | ||
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**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== | ===Symptoms=== | ||
Associated symptoms can provide indications to the cause of cholangitis.<ref name="book123">{{Citation | Associated symptoms can provide indications to the cause of cholangitis.<ref name="book123">{{Citation | ||
| last1 = Afdhal | | last1 = Afdhal | ||
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| year = 2001 | | year = 2001 | ||
}}</ref> | }}</ref> | ||
* | *Pale/ [[acholic stools]] | ||
*[[Confusion]] | *[[Confusion]] | ||
*[[Malaise]] | *[[Malaise]] | ||
*[[Nausea]] and [[vomiting]] | *[[Nausea]] and [[vomiting]] | ||
*Pain on the upper right side or upper middle part of the [[abdomen]] | *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 be felt in the back or below the right shoulder blade | ||
**May come and go and feel sharp, cramp-like, or dull | **May come and go and feel sharp, cramp-like, or dull | ||
*[[Pruritus]] | *[[Pruritus]] | ||
*[[Fever]] | |||
===Common Symptoms=== | ===Common Symptoms=== | ||
Common symptoms of cholangitis include: | Common symptoms of cholangitis include: | ||
*[[Abdominal pain]] in the right upper quadrant | *[[Abdominal pain]] in the right upper quadrant | ||
*[[Fever]], maybe associated with [[rigors and chills]] | *[[Fever]], maybe associated with [[Rigors|rigors and chills]] | ||
*[[Jaundice]]/ yellowish discoloration of skin | *[[Jaundice]]/ yellowish discoloration of skin | ||
===Less Common Symptoms=== | ===Less Common Symptoms=== | ||
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{{WikiDoc Sources}}[[Category:Emergency medicine]] | {{WikiDoc Sources}} | ||
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[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Primary care]] | [[Category:Primary care]] | ||
Revision as of 15:42, 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. 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 fever, abdominal pain, nausea and vomiting, jaundice/yellowish discoloration of skin, acholic stools/pale stools, pruritus, malaise, and Confusion.
History and Symptoms
- 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 fever, abdominal pain, nausea and vomiting, jaundice/yellowish discoloration of skin, acholic stools/pale stools, pruritus, malaise, and Confusion.
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]
- Pale/ acholic stools
- Confusion
- Malaise
- Nausea and vomiting
- 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
- Pruritus
- Fever
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
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