Cholangitis differential diagnosis: Difference between revisions
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| Line 21: | Line 21: | ||
Chronic | Chronic | ||
! rowspan="2" |Disease | ! rowspan="2" |Disease | ||
! colspan=" | ! colspan="7" |Clinical findings | ||
! rowspan="2" |Causes | ! rowspan="2" |Causes | ||
! colspan="2" |Laboratory findings | ! colspan="2" |Laboratory findings | ||
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|- | |- | ||
!Fever | !Fever | ||
!Rigors and chills | |||
!Abdominal | !Abdominal | ||
pain | pain | ||
!Site of pain | |||
!Jaundice | !Jaundice | ||
!Hypotension | !Hypotension | ||
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'''Ascending cholangits''' | '''Ascending cholangits''' | ||
| + | | + | ||
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|<nowiki>+</nowiki> | |||
|RUQ | |||
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* [[Nausea and vomiting]] | * [[Nausea and vomiting]] | ||
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'''cholangitis''' | '''cholangitis''' | ||
| ++ | | ++ | ||
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|<nowiki>+</nowiki> | |||
|RUQ | |||
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|'''[[Acute cholecystitis]]''' | |'''[[Acute cholecystitis]]''' | ||
|± | |± | ||
| | |− | ||
| + | |||
|RUQ | |||
|± | |± | ||
|− | |− | ||
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|'''[[Acute pancreatitis]]''' | |'''[[Acute pancreatitis]]''' | ||
|± | |± | ||
| | |− | ||
| + | |||
|LUQ, radiating to back | |||
|± | |± | ||
|− | |− | ||
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|'''[[Acute appendicitis]]''' | |'''[[Acute appendicitis]]''' | ||
|± | |± | ||
| | | + in pyogenic type | ||
| + | |||
|Starts in Umblical area and radiates to LLQ | |||
|− | |− | ||
|± | |± | ||
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|'''[[Acute hepatitis]]''' | |'''[[Acute hepatitis]]''' | ||
| + | | + | ||
|− | |||
| | |||
| | | | ||
| + | | + | ||
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|'''[[Diverticulitis|Acute diverticulitis]]''' | |'''[[Diverticulitis|Acute diverticulitis]]''' | ||
| + | | + | ||
|− | |||
| | |||
| | | | ||
|− | |− | ||
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|'''[[Peptic ulcer|Peptic Ulcer]]''' | |'''[[Peptic ulcer|Peptic Ulcer]]''' | ||
|± | |± | ||
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|− | |− | ||
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|'''[[Liver abscess]]''' | |'''[[Liver abscess]]''' | ||
| ++ | | ++ | ||
| | | + | ||
| + | |||
|RUQ | |||
|± | |± | ||
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|[[Choledocholithiasis|'''Choledocholithiasis''']] | |[[Choledocholithiasis|'''Choledocholithiasis''']] | ||
| - | | - | ||
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|'''[[Primary sclerosing cholangitis|Primary sclerosing]]''' | |'''[[Primary sclerosing cholangitis|Primary sclerosing]]''' | ||
'''[[Primary sclerosing cholangitis|cholangitis]]''' | '''[[Primary sclerosing cholangitis|cholangitis]]''' | ||
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|'''Primary biliary sclerosis''' | |'''Primary biliary sclerosis''' | ||
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|'''[[Chronic pancreatitis]]''' | |'''[[Chronic pancreatitis]]''' | ||
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|'''[[Hepatitis]]''' | |'''[[Hepatitis]]''' | ||
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|'''Liver [[Cirrhosis]]''' | |'''Liver [[Cirrhosis]]''' | ||
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| colspan=" | | colspan="13" |RUQ= Right upper quadrant of the abdomen, LUQ= Left Upper quadrant, LLQ = Left lower quadrant | ||
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Revision as of 19:50, 23 October 2017
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Cholangitis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Cholangitis differential diagnosis On the Web |
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American Roentgen Ray Society Images of Cholangitis differential diagnosis |
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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 | Rigors and chills | Abdominal
pain |
Site of pain | Jaundice | Hypotension | Other findings | ||||||
| Acute | Acute cholangitis /
Ascending cholangits |
+ | − | + | RUQ | + | − |
|
||||
| Acute suppurative
cholangitis |
++ | + | + | RUQ | + | + |
|
|||||
| Acute cholecystitis | ± | − | + | RUQ | ± | − |
|
|||||
| Acute pancreatitis | ± | − | + | LUQ, radiating to back | ± | − |
|
|||||
| Acute appendicitis | ± | + in pyogenic type | + | Starts in Umblical area and radiates to LLQ | − | ± | ||||||
| Acute hepatitis | + | − | + | |||||||||
| Acute diverticulitis | + | − | − | |||||||||
| Peptic Ulcer | ± | − | ||||||||||
| Liver abscess | ++ | + | + | RUQ | ± | |||||||
| 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.