Cholangitis history and symptoms: Difference between revisions
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**May be felt in the back or below the right shoulder blade | **May be felt in the back or below the right shoulder blade | ||
Revision as of 15:55, 23 October 2017
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Farwa Haideri [2] Amandeep Singh M.D.[3]
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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.
Common Symptoms
Common symptoms of cholangitis include: [1][2] [3]
- Abdominal pain in the right upper quadrant
- May be felt in the back or below the right shoulder blade
- May come and go and feel sharp, cramp-like, or dull
- Fever, maybe associated with rigors and chills
- Jaundice/ yellowish discoloration of skin
- Nausea and vomiting
Less Common Symptoms
Less common symptoms of cholangitis include
References
- ↑ 1.0 1.1 Afdhal, NH; Goldman, L & Schafer, Al (2011), Goldman's Cecil Medicine (24 ed.), Philadelphia, PA: Saunders Elsevier
- ↑ Liu, Chi-Leung. & Fan, Sheung-Tat. (2001), Surgical Treatment: Evidence-Based and Problem-Oriented., Munich, Germany: Zuckschwerdt Verlag
- ↑ Lee JG (2009). "Diagnosis and management of acute cholangitis". Nat Rev Gastroenterol Hepatol. 6 (9): 533–41. doi:10.1038/nrgastro.2009.126. PMID 19652653.