Condition Info - BotMed Application

ConditionName

Cholangitis

ConditionDescription

Symptoms

Charcot triad: RUQ pain; 
Jaundice; Fever; 
Reynolds pentad: + Altered mental status; 
Hypotension or shock

PhysicalFindings

Hepatomegaly;
Low BP

ClinicalTests

↑WBC;
↑ALP;
↑bilirubin;
↑AST↑ALT;
↑amylase;
US ok’ but HIDA scan is better;
Blood culture (if infection suspected);

Most accurate: Endoscopic retrograde cholangiopancreatography (ERCP), or magnetic resonance cholangiopancreatography (MRCP);

RiskFactors

IsRedFlag

IsNPLEX

Consequence

Gall stone;
Cirrhosis;
Ascites;
Edema;
Portal hypertension;
Bacteremia --> antibiotics;

ProgressionFromCondition

Blockage and inflammation of the main hepatic duct;

TreatmentOptions

Hydration;
Endoscopic biliary drainage;
Delayed cholecystectomy;

PharmOptions

IV antibiotics;

WebLink

https://www.merckmanuals.com/professional/hepatic-and-biliary-disorders/gallbladder-and-bile-duct-disorders/primary-sclerosing-cholangitis-psc