Cholangitis differential diagnosis: Difference between revisions
Jump to navigation
Jump to search
| Line 36: | Line 36: | ||
! | ! | ||
|- | |- | ||
| rowspan=" | | rowspan="10" |Acute | ||
|'''Acute cholangitis /''' | |'''Acute cholangitis /''' | ||
'''Ascending cholangits''' | '''Ascending cholangits''' | ||
| Line 55: | Line 55: | ||
|'''Acute suppurative''' | |'''Acute suppurative''' | ||
'''cholangitis''' | '''cholangitis''' | ||
| + | | ++ | ||
| | | | ||
* + | * + | ||
| Line 101: | Line 101: | ||
|- | |- | ||
|'''[[Acute appendicitis]]''' | |'''[[Acute appendicitis]]''' | ||
|± | |||
| | | | ||
* + | |||
* Starts in Umblical area and radiates to LLQ | |||
|− | |||
|± | |||
| | | | ||
| | | | ||
| Line 107: | Line 112: | ||
| | | | ||
| | | | ||
|- | |||
|'''[[Acute hepatitis]]''' | |||
| + | |||
| | | | ||
| + | |||
| | | | ||
| | | | ||
| | | | ||
| | | | ||
| | | | ||
| | | | ||
|- | |||
|'''[[Diverticulitis|Acute diverticulitis]]''' | |||
| + | |||
| | | | ||
|− | |||
| | | | ||
| | | | ||
| | | | ||
| | | | ||
| | | | ||
| | | | ||
|- | |||
|'''[[Peptic ulcer|Peptic Ulcer]]''' | |||
|± | |||
| | | | ||
|− | |||
| | | | ||
| | | | ||
| Line 133: | Line 146: | ||
| | | | ||
|- | |- | ||
|'''[[ | |'''[[Liver abscess]]''' | ||
| | | ++ | ||
| | | | ||
* + | |||
* RUQ | |||
|± | |||
| | | | ||
| | | | ||
| Line 145: | Line 160: | ||
|- | |- | ||
|[[Choledocholithiasis|'''Choledocholithiasis''']] | |[[Choledocholithiasis|'''Choledocholithiasis''']] | ||
| | | - | ||
| | | | ||
| | | | ||
| Line 234: | Line 249: | ||
| | | | ||
|- | |- | ||
| colspan="11" |RUQ= Right upper quadrant of the abdomen, LUQ= Left Upper quadrant | | colspan="11" |RUQ= Right upper quadrant of the abdomen, LUQ= Left Upper quadrant, LLQ = Left lower quadrant | ||
|} | |} | ||
Revision as of 18:48, 23 October 2017
|
Cholangitis Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Cholangitis differential diagnosis On the Web |
|
American Roentgen Ray Society Images of Cholangitis differential diagnosis |
|
Risk calculators and risk factors for Cholangitis differential diagnosis |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Farwa Haideri [2]
Overview
Cholangitis must be differentiated from other causes of infection in the common bile duct, as well as inflammation and infection of cholecystitis.
Differentiating Cholangitis from other Diseases
Cholangitis should be differentiated from the following:[1]
- Acute cholecystitis
- Acute hepatitis
- Acute pancreatitis
- Biliary stricture
- Cancer of the common bile duct
- Cholestatic liver disease
- Cirrhosis
- Duodenal ulcer
- Gastic ulcer
- Pancreatic cancer
| Acute/
Chronic |
Disease | Clinical findings | Causes | Laboratory findings | Treatment | |||||
|---|---|---|---|---|---|---|---|---|---|---|
| Fever | Abdominal
pain and its site |
Jaundice | Hypotension | Other findings | ||||||
| Acute | Acute cholangitis /
Ascending cholangits |
+ |
|
+ |
|
|||||
| Acute suppurative
cholangitis |
++ |
|
+ | + |
|
|||||
| Acute cholecystitis | ± |
|
± | − |
|
|||||
| Acute pancreatitis | ± |
|
± | − |
|
|||||
| Acute appendicitis | ± |
|
− | ± | ||||||
| Acute hepatitis | + | + | ||||||||
| Acute diverticulitis | + | − | ||||||||
| Peptic Ulcer | ± | − | ||||||||
| Liver abscess | ++ |
|
± | |||||||
| Choledocholithiasis | - | |||||||||
| Chronic | Primary sclerosing | |||||||||
| Primary biliary sclerosis | ||||||||||
| Chronic pancreatitis | ||||||||||
| Hepatitis | ||||||||||
| Liver Cirrhosis | ||||||||||
| RUQ= Right upper quadrant of the abdomen, LUQ= Left Upper quadrant, LLQ = Left lower quadrant | ||||||||||
References
- ↑ Miura F, Takada T, Kawarada Y, Nimura Y, Wada K, Hirota M, Nagino M, Tsuyuguchi T, Mayumi T, Yoshida M, Strasberg SM, Pitt HA, Belghiti J, de Santibanes E, Gadacz TR, Gouma DJ, Fan ST, Chen MF, Padbury RT, Bornman PC, Kim SW, Liau KH, Belli G, Dervenis C (2007). "Flowcharts for the diagnosis and treatment of acute cholangitis and cholecystitis: Tokyo Guidelines". J Hepatobiliary Pancreat Surg. 14 (1): 27–34. doi:10.1007/s00534-006-1153-x. PMC 2784508. PMID 17252294.