Cholangitis history and symptoms: Difference between revisions
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==Symtoms== | ==Symtoms== | ||
Associated symptoms can provide clues as to the cause of cholangitis.<ref name="urlCholangitis: MedlinePlus Medical Encyclopedia">{{cite web |url=https://www.nlm.nih.gov/medlineplus/ency/article/000290.htm |title=Cholangitis: MedlinePlus Medical Encyclopedia |format= |work= |accessdate=April 22, 2016}}</ref><ref name="urlAscending cholangitis - Wikipedia, the free encyclopedia">{{cite web |url=https://en.wikipedia.org/wiki/Ascending_cholangitis#Signs_and_symptoms |title=Ascending cholangitis - Wikipedia, the free encyclopedia |format= |work= |accessdate=April 22, 2016}}</ref> | Associated symptoms can provide clues as to the cause of cholangitis.<ref name="urlCholangitis: MedlinePlus Medical Encyclopedia">{{cite web |url=https://www.nlm.nih.gov/medlineplus/ency/article/000290.htm |title=Cholangitis: MedlinePlus Medical Encyclopedia |format= |work= |accessdate=April 22, 2016}}</ref><ref name="urlAscending cholangitis - Wikipedia, the free encyclopedia">{{cite web |url=https://en.wikipedia.org/wiki/Ascending_cholangitis#Signs_and_symptoms |title=Ascending cholangitis - Wikipedia, the free encyclopedia |format= |work= |accessdate=April 22, 2016}}</ref><ref name="book12">{{Citation | ||
| last1 = Liu | |||
| first1 = Chi-Leung. | |||
| last2 = Fan | |||
| first2 = Sheung-Tat. | |||
| lastauthoramp = yes | |||
| title = Surgical Treatment: Evidence-Based and Problem-Oriented. | |||
| publisher = Zuckschwerdt Verlag | |||
| place = Munich, Germany | |||
| year = 2001 | |||
}}</ref> | |||
*[[Acholic]] or [[hypocholic stools]] | |||
*[[Confusion]] | |||
*[[Fever]] and [[chills]] | |||
*[[Malaise]] | |||
*[[Nausea]] and [[vomiting]] | |||
*[[Occult sepsis]] | |||
*Pain on the upper right side or upper middle part of the [[abdomen]]. | *Pain on the upper right side or upper middle part of the [[abdomen]]. | ||
**It may also be felt in the back or below the right shoulder blade. | **It may also be felt in the back or below the right shoulder blade. | ||
**The pain may come and go and feel sharp, cramp-like, or dull. | **The pain may come and go and feel sharp, cramp-like, or dull. | ||
*[[Pruritus]] | *[[Pruritus]] | ||
*[[Paralytic ileus]] | |||
*[[ | |||
==References== | ==References== | ||
Revision as of 19:26, 22 April 2016
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
History
Obtaining the history is the most important aspect of making a diagnosis of cholangitis. It provides insight into cause, precipitating factors and associated comorbid conditions. Complete history will help determine the correct therapy and helps in determining the prognosis. The patient's medical history is helpful. Specific areas of focus when obtaining the history, are outlined below:[1]
- Gallstones and common bile duct stones
- Recent cholecystectomy
- Endoscopic manipulation or ERCP
- History of HIV or AIDS
- AIDS-related cholangitis is characterized by extrahepatic biliary edema, ulceration, and obstruction.
Symtoms
Associated symptoms can provide clues as to the cause of cholangitis.[1][2][3]
- Acholic or hypocholic stools
- Confusion
- Fever and chills
- Malaise
- Nausea and vomiting
- Occult sepsis
- Pain on the upper right side or upper middle part of the abdomen.
- It may also be felt in the back or below the right shoulder blade.
- The pain may come and go and feel sharp, cramp-like, or dull.
- Pruritus
- Paralytic ileus
References
- ↑ 1.0 1.1 "Cholangitis: MedlinePlus Medical Encyclopedia". Retrieved April 22, 2016.
- ↑ "Ascending cholangitis - Wikipedia, the free encyclopedia". Retrieved April 22, 2016.
- ↑ Liu, Chi-Leung. & Fan, Sheung-Tat. (2001), Surgical Treatment: Evidence-Based and Problem-Oriented., Munich, Germany: Zuckschwerdt Verlag