Cholangitis history and symptoms: Difference between revisions
No edit summary |
|||
| Line 4: | Line 4: | ||
{{Cholangitis}} | {{Cholangitis}} | ||
==Overview== | ==Overview== | ||
Obtaining a thorough and accurate history is the most important | Obtaining a thorough and accurate history is the most important part 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]] all point towards a diagnosis of cholangitis in the presence of [[Charcot's triad]]. [[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 == | == History and Symptoms == | ||
Revision as of 00:58, 3 January 2018
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Amandeep Singh M.D.[2] Farwa Haideri [3]
|
Cholangitis Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Cholangitis history and symptoms On the Web |
|
American Roentgen Ray Society Images of Cholangitis history and symptoms |
|
Risk calculators and risk factors for Cholangitis history and symptoms |
Overview
Obtaining a thorough and accurate history is the most important part 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 all point towards a diagnosis of cholangitis in the presence of Charcot's triad. 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
 |
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.