Cholangitis history and symptoms
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]
- 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.
- Fever and chills
- Nausea and vomiting
- Pruritus
Acholic or hypocholic stools
- Malaise
- Confusion
References
- ↑ 1.0 1.1 "Cholangitis: MedlinePlus Medical Encyclopedia". Retrieved April 22, 2016.
- ↑ "Ascending cholangitis - Wikipedia, the free encyclopedia". Retrieved April 22, 2016.