Cholangitis physical examination: Difference between revisions
| Line 29: | Line 29: | ||
===Abdomen=== | ===Abdomen=== | ||
*Right upper quadrant (RUQ) [[tenderness]] | *Right upper quadrant (RUQ) [[tenderness]] | ||
*Abdominal pain | *Abdominal pain<ref name="pmid2294844">{{cite journal |vauthors=Lai EC, Tam PC, Paterson IA, Ng MM, Fan ST, Choi TK, Wong J |title=Emergency surgery for severe acute cholangitis. The high-risk patients |journal=Ann. Surg. |volume=211 |issue=1 |pages=55–9 |year=1990 |pmid=2294844 |pmc=1357893 |doi= |url=}}</ref> | ||
===Neuromuscular=== | ===Neuromuscular=== | ||
Revision as of 19:04, 13 September 2016
|
Cholangitis Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Cholangitis physical examination On the Web |
|
American Roentgen Ray Society Images of Cholangitis physical examination |
|
Risk calculators and risk factors for Cholangitis physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Farwa Haideri [2]
Overview
Charcot's triad, which includes abdominal pain, jaundice, and fever is a set of three common findings in cholangitis. Reynold's pentad, which includes Charcot's triad and two other symptoms, septic shock and mental confusion, are also common markers in a physical examination for cholangitis. It is associated with significant morbidity and mortality.
Physical Examination
Charcot's triad is the classical presentation of acute cholangitis. Only 50-70% of patients exhibit all three features. Fever, which is present in over 90% of patients, is most common. Abdominal pain and clinical jaundice occur in about 80% of patients. 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.[1]
Vitals
- Fever
- Septic shock
- Elderly patients may present with hypotension[2]
Skin
- Jaundice
Abdomen
- Right upper quadrant (RUQ) tenderness
- Abdominal pain[3]
Neuromuscular
- Mental confusion
References
- ↑ Liu, Chi-Leung. & Fan, Sheung-Tat. (2001), Surgical Treatment: Evidence-Based and Problem-Oriented., Munich, Germany: Zuckschwerdt Verlag
- ↑ Brunicardi FC, Schwartz SI. Schwartz's Principles of Surgery. McGraw-Hill Scientific, Technical & Medical; 2005.
- ↑ Lai EC, Tam PC, Paterson IA, Ng MM, Fan ST, Choi TK, Wong J (1990). "Emergency surgery for severe acute cholangitis. The high-risk patients". Ann. Surg. 211 (1): 55–9. PMC 1357893. PMID 2294844.