Cholangitis history and symptoms: Difference between revisions
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50-60% of patients will have all three of Charcot’s triad. 95% will have fever, 66% [[abdominal pain]], jaundice is noted in 80% (When [[bilirubin]] >2.5). Nonobstructive stones are more likely to present without pain or fever. Elderly patients may present only with [[hypotension]]. Dark urine is noted and acholia can be seen. | 50-60% of patients will have all three of Charcot’s triad. 95% will have fever, 66% [[abdominal pain]], jaundice is noted in 80% (When [[bilirubin]] >2.5). Nonobstructive stones are more likely to present without pain or fever. Elderly patients may present only with [[hypotension]]. Dark urine is noted and acholia can be seen. | ||
==History and Symptoms== | ==History and Symptoms== | ||
The classical clinical manifestation of Cholangitis is described by Charcot's triad and includes fever, right upper quadrant pain, and jaundice. Some patients also present with hypotension, and confusion. The pentad of presentation is then called as 'Reynold's pentad' | The classical clinical manifestation of [[Cholangitis]] is described by [[Charcot's triad]] and includes [[fever]], right upper quadrant pain, and [[jaundice]]. Some patients also present with [[hypotension]], and [[confusion]]. The pentad of presentation is then called as '[[Reynold's pentad]]' | ||
'''The following symptoms may occur:''' | '''The following symptoms may occur:''' | ||
* [[Abdominal pain]] | * [[Abdominal pain]] | ||
Revision as of 12:35, 2 November 2012
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
50-60% of patients will have all three of Charcot’s triad. 95% will have fever, 66% abdominal pain, jaundice is noted in 80% (When bilirubin >2.5). Nonobstructive stones are more likely to present without pain or fever. Elderly patients may present only with hypotension. Dark urine is noted and acholia can be seen.
History and Symptoms
The classical clinical manifestation of Cholangitis is described by Charcot's triad and includes fever, right upper quadrant pain, and jaundice. Some patients also present with hypotension, and confusion. The pentad of presentation is then called as 'Reynold's pentad' The following symptoms may occur:
- In the right upper side or middle of the upper abdomen
- May come and go
- Pain is sharp, crampy, or dull
- Pain may move the back or below the right shoulder blade
- Fever and chills
- Clay-colored stools
- Dark urine
- Nausea and vomiting
- Yellowing of the skin (jaundice) -- may come and go