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Gastroenterology/Gen Surg > Ascending Cholangitis > Flashcards

Ascending Cholangitis Flashcards

1
Q

what is it?

A

inflammation of the bile duct

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2
Q

aetiology?

A

gallstone impacted in CBD

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3
Q

Symptoms?

A

Charcot’s triad:

  • RUQ pain
  • fever
  • jaundice
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4
Q

signs?

A

pale stools, dark urine and itching

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5
Q

Ix?

A

Bloods- inflammatory markers raised & picture of obstructive jaundice

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6
Q

Mx?

A
  • Conservative
    • NBM
    • analgesia
    • IV fluids
    • Abx - cefuroxime & metronidazole
  • Surgical to remove stone- ERCP / Percutaneous Transhepatic Cholangiography
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7
Q

prognosis?

A

high mortality rate due to sepsis

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Gastroenterology/Gen Surg (57 decks)

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