acute cholangitis Flashcards
1
Q
acute cholangitis
A
infection + inflammation of bile ducts
surgical emergency - high mortality due to sepsis
2
Q
2 main causes
A
- obstruction in bile stopping bile flow e.g. gallstones
- infection introduced during ERCP
3
Q
most common organisms
A
e. coli
klebsiella species
enterococcus species
4
Q
charcot’s triad
A
RUQ pain
fever
jaundiced
5
Q
Mx - acute
A
admission NBM IV fluids blood cultures IVantibc
6
Q
imaging
A
abdo USS
CT
MRCP
endoscopic USS
7
Q
Mx - surgical definitive
A
ERCP
percutaneous transhepatic cholangiogram as other option
8
Q
procedures which can be performed during ERCP
A
- cholangio-pancreatogrophy
- sphincterotomy
- stone removal
- biliary stenting
- biopsy
