Cholangitis laboratory findings: Difference between revisions
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* Elevated conjugated (direct) [[bilirubin]] | * Elevated conjugated (direct) [[bilirubin]] | ||
* Elevated serum [[amylase]]. Levels may be as high as 3-4 times of normal, representing [[pancreatitis]]. | * Elevated serum [[amylase]]. Levels may be as high as 3-4 times of normal, representing [[pancreatitis]]. | ||
* Elevated ALT (aminotransferases as high as 1000 IU/L) reflecting hepatocytes injury and microabscess formation. Liver abscess is indicated in such cases. | |||
* Blood culture | |||
* Culture from bile obtained during ERCP (endoscopic retrograde cholangiopancreatography) | |||
==References== | ==References== |
Revision as of 13:56, 2 November 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Laboratory Findings
Complete blood count
- Neutrophilic leucocytosis
Cholestatic pattern of Liver function tests
- Elevated serum alkaline phosphatase
- Elevated gammaglutamyl transpeptidase (GGT)
- Elevated conjugated (direct) bilirubin
- Elevated serum amylase. Levels may be as high as 3-4 times of normal, representing pancreatitis.
- Elevated ALT (aminotransferases as high as 1000 IU/L) reflecting hepatocytes injury and microabscess formation. Liver abscess is indicated in such cases.
- Blood culture
- Culture from bile obtained during ERCP (endoscopic retrograde cholangiopancreatography)