Cholangitis history and symptoms: Difference between revisions

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==Overview==
==Overview==
Obtaining a thorough and accurate history is the most important aspect of making a diagnosis of cholangitis. A positive history of [[gallstones]] and [[common bile duct]] stones, recent [[cholecystectomy]], endoscopic manipulation or [[endoscopic retrograde cholangiopancreatography]] (ERCP), [[cholangiogram]] and history of [[HIV]] or [[AIDS]]. Symptoms of cholangitis include [[fever]], [[abdominal pain]], [[nausea and vomiting]], [[Jaundice|jaundice/yellowish discoloration of skin]], [[acholic stools]]/pale stools, [[pruritus]], [[malaise]], and [[Confusion]].
Obtaining a thorough and accurate history is the most important part of making a [[diagnosis]] of cholangitis. A positive history of [[gallstones]] and [[common bile duct]] stones, recent [[cholecystectomy]], [[endoscopic]] manipulation or [[endoscopic retrograde cholangiopancreatography]] (ERCP), [[cholangiogram]] and history of [[HIV]] or [[AIDS]] all point towards a diagnosis of cholangitis in the presence of [[Charcot's triad]]. [[Symptoms]] of cholangitis include [[fever]], [[abdominal pain]], [[nausea and vomiting]], [[Jaundice|jaundice/yellowish discoloration of skin]], [[acholic stools]]/pale stools, [[pruritus]], [[malaise]], and [[confusion]].


== History and Symptoms ==
== History and Symptoms ==
*A positive history of [[gallstones]] and [[common bile duct]] stones, recent [[cholecystectomy]], endoscopic manipulation or [[endoscopic retrograde cholangiopancreatography]] (ERCP), [[cholangiogram]] and history of [[HIV]] or [[AIDS]]
*A positive history of [[gallstones]] and [[common bile duct]] stones, recent [[cholecystectomy]], endoscopic manipulation via [[endoscopic retrograde cholangiopancreatography]] ([[Endoscopic retrograde cholangiopancreatography|ERCP]]), [[cholangiogram]] and history of [[HIV]] or [[AIDS]]


*Symptoms of cholangitis include [[fever]], [[abdominal pain]], [[nausea and vomiting]], [[Jaundice|jaundice/yellowish discoloration of skin]], [[acholic stools]]/pale stools, [[pruritus]], [[malaise]], and [[Confusion]].   
*[[Symptoms]] of cholangitis include [[fever]], [[abdominal pain]], [[nausea and vomiting]], [[Jaundice|jaundice/yellowish discoloration of skin]], [[acholic stools]]/pale stools, [[pruritus]], [[malaise]], and [[confusion]].   
===History===
===History===
A complete history will help determine the appropriate therapy and prognosis. A positive history of the following is suggestive of cholangitis:<ref name="book123">{{Citation
A complete history may help determine the appropriate therapy and [[prognosis]]. A positive history of the following is suggestive of cholangitis in the presence of positive [[Symptoms and Signs|signs and symptoms]]:<ref name="book123">{{Citation
| last1  = Afdhal
| last1  = Afdhal
| first1 = NH
| first1 = NH
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| edition = 24
| edition = 24
| year    = 2011
| year    = 2011
}}</ref>  
}}</ref><ref name="pmid21207254">{{cite journal |vauthors=Mosler P |title=Diagnosis and management of acute cholangitis |journal=Curr Gastroenterol Rep |volume=13 |issue=2 |pages=166–72 |year=2011 |pmid=21207254 |doi=10.1007/s11894-010-0171-7 |url=}}</ref>
*[[Gallstones]] and [[common bile duct]] stones
*[[Gallstones]] and [[common bile duct]] stones
*Recent [[cholecystectomy]]
*Recent [[cholecystectomy]]
*Endoscopic manipulation or [[endoscopic retrograde cholangiopancreatography]] (ERCP)
*[[Endoscopic]] manipulation of the biliary tree or [[endoscopic retrograde cholangiopancreatography]] ([[Endoscopic retrograde cholangiopancreatography|ERCP]])
**[[Cholangiogram]]
**[[Cholangiogram]]
*History of [[HIV]] or [[AIDS]]
*History of [[HIV]] or [[AIDS]]
**AIDS-related cholangitis is characterized by extrahepatic biliary [[edema]], [[ulceration]], and obstruction.
**[[AIDS]]-related cholangitis is characterized by extrahepatic biliary [[edema]], [[ulceration]], and obstruction.


===Common Symptoms=== <ref name="book123">{{Citation
===Common symptoms===
{| align="right"
|[[File:Cholangitis Jaundice.jpg|thumb|250px|Sclerotic jaundice in a female patient with ascending cholangitis, Maracay, Venezuela.<ref>By Bobjgalindo - Own work, GFDL, https://commons.wikimedia.org/w/index.php?curid=10762793</ref>]]
|}
Common [[symptoms]] of cholangitis include: <ref name="book123">{{Citation
| last1  = Afdhal
| last1  = Afdhal
| first1 = NH
| first1 = NH
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| edition = 24
| edition = 24
| year    = 2011
| year    = 2011
}}</ref><ref name="book12">{{Citation
}}</ref><ref name="pmid21207254" /><ref name="book12">{{Citation
| last1  = Liu
| last1  = Liu
| first1 = Chi-Leung.  
| first1 = Chi-Leung.  
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| place    = Munich, Germany  
| place    = Munich, Germany  
| year    = 2001
| year    = 2001
}}</ref>
}}</ref><ref name="pmid19652653">{{cite journal |vauthors=Lee JG |title=Diagnosis and management of acute cholangitis |journal=Nat Rev Gastroenterol Hepatol |volume=6 |issue=9 |pages=533–41 |year=2009 |pmid=19652653 |doi=10.1038/nrgastro.2009.126 |url=}}</ref>
Common symptoms of cholangitis include:
*[[Abdominal pain]] in the [[right upper quadrant]]
*[[Abdominal pain]] in the right upper quadrant
**May be felt in the back or below the right [[shoulder blade]]
**May be felt in the back or below the right shoulder blade
**Episodic
**May come and go and feel sharp, cramp-like, or dull
**Sharp, cramp-like, or dull
*[[Fever]], maybe associated with [[Rigors|rigors and chills]]
*[[Fever]], maybe associated with [[Rigors|rigors and chills]]
*[[Jaundice]]/ yellowish discoloration of skin
*[[Jaundice]]/ yellowish discoloration of [[skin]] and [[sclera]]
*[[Nausea and vomiting]]
*[[Nausea and vomiting]]


===Less Common Symptoms===
===Less common symptoms===
Less common symptoms of cholangitis include  
Less common [[symptoms]] of cholangitis include  
*Pale/ [[acholic stools]]
*Pale/ [[acholic stools]]
*[[Malaise]]
*[[Malaise]]
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==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
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Latest revision as of 20:55, 29 July 2020


Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Amandeep Singh M.D.[2] Farwa Haideri [3]

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Overview

Obtaining a thorough and accurate history is the most important part of making a diagnosis of cholangitis. A positive history of gallstones and common bile duct stones, recent cholecystectomy, endoscopic manipulation or endoscopic retrograde cholangiopancreatography (ERCP), cholangiogram and history of HIV or AIDS all point towards a diagnosis of cholangitis in the presence of Charcot's triad. Symptoms of cholangitis include fever, abdominal pain, nausea and vomiting, jaundice/yellowish discoloration of skin, acholic stools/pale stools, pruritus, malaise, and confusion.

History and Symptoms

History

A complete history may help determine the appropriate therapy and prognosis. A positive history of the following is suggestive of cholangitis in the presence of positive signs and symptoms:[1][2]

Common symptoms

Sclerotic jaundice in a female patient with ascending cholangitis, Maracay, Venezuela.[3]

Common symptoms of cholangitis include: [1][2][4][5]

Less common symptoms

Less common symptoms of cholangitis include

References

  1. 1.0 1.1 Afdhal, NH; Goldman, L & Schafer, Al (2011), Goldman's Cecil Medicine (24 ed.), Philadelphia, PA: Saunders Elsevier
  2. 2.0 2.1 Mosler P (2011). "Diagnosis and management of acute cholangitis". Curr Gastroenterol Rep. 13 (2): 166–72. doi:10.1007/s11894-010-0171-7. PMID 21207254.
  3. By Bobjgalindo - Own work, GFDL, https://commons.wikimedia.org/w/index.php?curid=10762793
  4. Liu, Chi-Leung. & Fan, Sheung-Tat. (2001), Surgical Treatment: Evidence-Based and Problem-Oriented., Munich, Germany: Zuckschwerdt Verlag
  5. Lee JG (2009). "Diagnosis and management of acute cholangitis". Nat Rev Gastroenterol Hepatol. 6 (9): 533–41. doi:10.1038/nrgastro.2009.126. PMID 19652653.


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