Acute cholangitis Flashcards
1
Q
Ascending cholangitis
A
Bacterial infection of the biliary tree
Typically E.coli
2
Q
Main causes of acute cholangitis
A
Obstruction in the bile ducts by gallstones
Infection introduced during ERCP
3
Q
Most common organisms
A
Escherichia coli
Klebsiella species
Enterococcus species
4
Q
Charcot’s triad
A
RUQ pain
Fever
Jaundice
5
Q
Management
A
NBM
IV fluids
Blood cultures
IV abx
6
Q
Investigations
A
US first line to look for bile duct dilation and stones
CT scan
MRCP
Endoscopic US
7
Q
ERCP
A
Required to remove stones blocking the bile duct
Down oesophagus, past stomach, to duodenum and into sphincter of Oddi
8
Q
Procedures that can be done during ERCP
A
Cholangio-pancreatography to visualise system
Sphincterotomy (make cut to allow passage)
Stone removal
Balloon dilatation
Biliary stenting
Biopsy
