Cholangitis differential diagnosis: Difference between revisions

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*Gastic ulcer
*Gastic ulcer
*[[Pancreatic cancer]]
*[[Pancreatic cancer]]
{| class="wikitable"
! rowspan="2" |Acute/
Chronic
! rowspan="2" |Disease
! colspan="6" |Clinical findings
! rowspan="2" |Causes
!Laboratory findings
!Treatment
|-
!Fever
!Abdominal
pain and its site
!Jaundice
!Hypotension
!Other findings
!
!
!
|-
| rowspan="9" |Acute
|'''Acute cholangitis /'''
'''Ascending cholangits'''
| +
|
* +
* RUQ
| +
|
|
* [[Nausea and vomiting]]
|
|
* Gall stones
|
|
|-
|'''Acute suppurative'''
'''cholangitis'''
| +
|
* +
* RUQ
| +
| +
|
* [[Confusion]]
* [[Nausea and vomiting]]
|
|
* Gall stones
|
|
|-
|'''[[Acute cholecystitis]]'''
|±
|
* +
* RUQ
|±
|−
|
* [[Nausea and vomiting]]
|
|
* Gall stones
|
|
|-
|'''[[Acute pancreatitis]]'''
|±
|
* +
* LUQ, radiating to back
|±
|−
|
* [[Nausea and vomiting]]
|
|
* Gall stones
|
|
|-
|'''[[Acute appendicitis]]'''
|
|
|
|
|
|
|
|
|
|-
|'''[[Acute hepatitis]]'''
|
|
|
|
|
|
|
|
|
|-
|'''[[Diverticulitis|Acute diverticulitis]]'''
|
|
|
|
|
|
|
|
|
|-
|'''[[Peptic ulcer|Peptic Ulcer]]'''
|
|
|
|
|
|
|
|
|
|-
|[[Choledocholithiasis|'''Choledocholithiasis''']]
|
|
|
|
|
|
|
|
|
|-
| rowspan="7" |Chronic
|'''[[Primary sclerosing cholangitis|Primary sclerosing]]'''
'''[[Primary sclerosing cholangitis|cholangitis]]'''
|
|
|
|
|
|
|
|
|
|-
|'''Primary biliary sclerosis'''
|
|
|
|
|
|
|
|
|
|-
|'''[[Chronic pancreatitis]]'''
|
|
|
|
|
|
|
|
|
|-
|'''[[Hepatitis]]'''
|
|
|
|
|
|
|
|
|
|-
|'''[[Cirrhosis]]'''
|
|
|
|
|
|
|
|
|
|-
|
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|
|
|
|
|
|
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|-
|
|
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|
|
|
|
|
|
|
|-
| colspan="11" |RUQ= Right upper quadrant of the abdomen, LUQ= Left Upper quadrant
|}


==References==
==References==
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Revision as of 18:40, 23 October 2017

Cholangitis Microchapters

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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/

Chronic

Disease Clinical findings Causes Laboratory findings Treatment
Fever Abdominal

pain and its site

Jaundice Hypotension Other findings
Acute Acute cholangitis /

Ascending cholangits

+
  • +
  • RUQ
 +
  • Gall stones
Acute suppurative

cholangitis

+
  • +
  • RUQ
 + +
  • Gall stones
Acute cholecystitis ±
  • +
  • RUQ
 ± −
  • Gall stones
Acute pancreatitis ±
  • +
  • LUQ, radiating to back
 ± −
  • Gall stones
Acute appendicitis
Acute hepatitis
Acute diverticulitis
Peptic Ulcer
Choledocholithiasis
Chronic Primary sclerosing

cholangitis

Primary biliary sclerosis
Chronic pancreatitis
Hepatitis
Cirrhosis
RUQ= Right upper quadrant of the abdomen, LUQ= Left Upper quadrant

References

  1. ↑ 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.


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