Cholangitis history and symptoms: Difference between revisions
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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. | ||
===Common Symptoms=== | ===Common Symptoms==={| align="right" | ||
|[[File:Cholangitis Jaundice.jpg|thumb|250px|Sclerotic jaundice in a female patient with ascending cholangitis, Maracay, Venezuela.<ref>By Bobjgalindo - Own work, GFDL, https://commons.wikimedia.org/w/index.php?curid=10762793</ref>]] | |||
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Common symptoms of cholangitis include: <ref name="book123">{{Citation | Common symptoms of cholangitis include: <ref name="book123">{{Citation | ||
| last1 = Afdhal | | last1 = Afdhal | ||
Revision as of 19:44, 18 December 2017
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Amandeep Singh M.D.[2] Farwa Haideri [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] [2]
- 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==={| align="right"
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|} Common symptoms of cholangitis include: [1][2][4][5]
- 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
- ↑ 2.0 2.1 Mosler P (2011). "Diagnosis and management of acute cholangitis". Curr Gastroenterol Rep. 13 (2): 166–72. doi:10.1007/s11894-010-0171-7. PMID 21207254.
- ↑ By Bobjgalindo - Own work, GFDL, https://commons.wikimedia.org/w/index.php?curid=10762793
- ↑ 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.