Cholangitis differential diagnosis: Difference between revisions
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{{CMG}}; {{AE}} {{ADS}} {{FH}} | {{CMG}}; {{AE}} {{ADS}} {{FH}} | ||
==Overview== | ==Overview== | ||
Cholangitis must be differentiated from other causes of infection in the [[common bile duct]], as well as [[inflammation]] and infection of | Cholangitis must be differentiated from other causes of infection in the [[common bile duct]], as well as [[inflammation]] and infection of the gall bladder.and mainly from other causes of acute abdomen. | ||
==Differentiating Cholangitis from other Diseases== | ==Differentiating Cholangitis from other Diseases== | ||
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| [[Image:Right_upper_quadrant.PNG|link=Right upper quadrant abdominal pain resident survival guide]]||[[Image:Epigastric_quadrant_pain.PNG|link=Epigastric pain resident survival guide]]||[[Image:Left_upper_quadrant.PNG|link=Left upper quadrant abdominal pain resident survival guide]] | | <figure-inline class="mw-default-size">[[Image:Right_upper_quadrant.PNG|link=Right upper quadrant abdominal pain resident survival guide|339x339px]]</figure-inline>||<figure-inline class="mw-default-size">[[Image:Epigastric_quadrant_pain.PNG|link=Epigastric pain resident survival guide|179x179px]]</figure-inline>||<figure-inline class="mw-default-size">[[Image:Left_upper_quadrant.PNG|link=Left upper quadrant abdominal pain resident survival guide|329x329px]]</figure-inline> | ||
|- | |- | ||
| [[Image:Right_flank_quadrant.PNG|link=Right flank pain resident survival guide]]||[[Image:Umbilical_pain.PNG|link=Umbilical region pain resident survival guide]]||[[Image:Left_flank_quadrant.PNG|link=Left flank quadrant abdominal pain resident survival guide]] | | <figure-inline class="mw-default-size">[[Image:Right_flank_quadrant.PNG|link=Right flank pain resident survival guide|338x338px]]</figure-inline>||<figure-inline class="mw-default-size">[[Image:Umbilical_pain.PNG|link=Umbilical region pain resident survival guide|165x165px]]</figure-inline>||<figure-inline class="mw-default-size">[[Image:Left_flank_quadrant.PNG|link=Left flank quadrant abdominal pain resident survival guide|335x335px]]</figure-inline> | ||
|- | |- | ||
| [[Image:Right_lower_quadrant.PNG|link=Right lower quadrant abdominal pain resident survival guide]]||[[Image:Hypogastric.PNG|link=Hypogastric pain resident survival guide]]||[[Image:Left_lower_quadrant.PNG|link=Left lower quadrant abdominal pain resident survival guide]] | | <figure-inline class="mw-default-size">[[Image:Right_lower_quadrant.PNG|link=Right lower quadrant abdominal pain resident survival guide|338x338px]]</figure-inline>||<figure-inline class="mw-default-size">[[Image:Hypogastric.PNG|link=Hypogastric pain resident survival guide|199x199px]]</figure-inline>||<figure-inline class="mw-default-size">[[Image:Left_lower_quadrant.PNG|link=Left lower quadrant abdominal pain resident survival guide|335x335px]]</figure-inline> | ||
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Revision as of 18:19, 29 December 2017
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Cholangitis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Cholangitis differential diagnosis On the Web |
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American Roentgen Ray Society Images of Cholangitis differential diagnosis |
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Risk calculators and risk factors for Cholangitis differential diagnosis |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Amandeep Singh M.D.[2] Farwa Haideri [3]
Overview
Cholangitis must be differentiated from other causes of infection in the common bile duct, as well as inflammation and infection of the gall bladder.and mainly from other causes of acute abdomen.
Differentiating Cholangitis from other Diseases
Cholangitis should be differentiated from the following:[1]
- Acute cholecystitis
- Acute hepatitis
- Acute pancreatitis
- Biliary stricture
- Cancer of the common bile duct
- Cholestatic liver disease
- Cirrhosis
- Duodenal ulcer
- Gastic ulcer
- Pancreatic cancer
Differentiating acute cholangitis from other causes of abdominal pain
Abbreviations: RUQ= Right upper quadrant of the abdomen, LUQ= Left upper quadrant, LLQ= Left lower quadrant, RLQ= Right lower quadrant, LFT= Liver function test, SIRS= Systemic inflammatory response syndrome, ERCP= Endoscopic retrograde cholangiopancreatography, IV= Intravenous, N= Normal, AMA= Anti mitochondrial antibodies, LDH= Lactate dehydrogenase, GI= Gastrointestinal, CXR= Chest X ray, IgA= Immunoglobulin A, IgG= Immunoglobulin G, IgM= Immunoglobulin M, CT= Computed tomography, PMN= Polymorphonuclear cells, ESR= Erythrocyte sedimentation rate, CRP= C-reactive protein, TS= Transferrin saturation, SF= Serum Ferritin, SMA= Superior mesenteric artery, SMV= Superior mesenteric vein, ECG= Electrocardiogram, US = Ultrasound
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References
- ↑ Miura F, Takada T, Kawarada Y, Nimura Y, Wada K, Hirota M, Nagino M, Tsuyuguchi T, Mayumi T, Yoshida M, Strasberg SM, Pitt HA, Belghiti J, de Santibanes E, Gadacz TR, Gouma DJ, Fan ST, Chen MF, Padbury RT, Bornman PC, Kim SW, Liau KH, Belli G, Dervenis C (2007). "Flowcharts for the diagnosis and treatment of acute cholangitis and cholecystitis: Tokyo Guidelines". J Hepatobiliary Pancreat Surg. 14 (1): 27–34. doi:10.1007/s00534-006-1153-x. PMC 2784508. PMID 17252294.