Cholangitis history and symptoms: Difference between revisions

Jump to navigation Jump to search
Line 15: Line 15:
===Fever===
===Fever===
* With chills and rigor
* With chills and rigor
===Jaundice===
* Clay-colored stools
* Clay-colored stools
* Dark urine
* Dark urine
* [[Nausea]] and [[vomiting]]
* [[Nausea]] and [[vomiting]]
* Yellowing of the skin ([[jaundice]]) -- may come and go
* Yellowing of the skin and sclera


==References==
==References==

Revision as of 12:44, 2 November 2012

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Cholangitis Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Cholangitis from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

Diagnostic Criteria

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X Ray

CT

MRI

Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Cholangitis history and symptoms On the Web

Most recent articles

cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Cholangitis history and symptoms

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Cholangitis history and symptoms

CDC on Cholangitis history and symptoms

Cholangitis history and symptoms in the news

Blogs on Cholangitis history and symptoms

Directions to Hospitals Treating Cholangitis

Risk calculators and risk factors for Cholangitis history and symptoms

Overview

50-60% of patients will have all three of Charcot’s triad. 95% will have fever, 66% abdominal pain, jaundice is noted in 80% (When bilirubin >2.5). Nonobstructive stones are more likely to present without pain or fever. Elderly patients may present only with hypotension. Dark urine is noted and acholia can be seen.

History and Symptoms

The classical clinical manifestation of Cholangitis is described by Charcot's triad and includes fever, right upper quadrant pain, and jaundice. In suppurative cholangitis hypotension, and confusion can occur. The pentad of presentation is then called as 'Reynold's pentad'. Reynold's pentad is associated with significant morbidity, and mortality.

The following symptoms may occur:

Abdominal pain

  • right or middle of the upper abdomen
  • Intermittent
  • Sharp, crampy, or dull
  • Radiation to back or below the right shoulder blade

Fever

  • With chills and rigor

Jaundice

  • Clay-colored stools
  • Dark urine
  • Nausea and vomiting
  • Yellowing of the skin and sclera

References

Template:WH Template:WS