Biliary diseases

Question 1

Acute cholangitis - signs and management and pathogen

Answer 1

Charcot’s triad: RUQ pain, fever and clinical and biochemical jaundice
Mx - Abx for Ecoli

Question 2

Which two additional symptoms to Charcot’s triad would make it the pentad and what’s the name of the pentad?

Answer 2

Reynold’s pentad - hypotension and confusion

Question 3

Acute cholecystitis signs, blood results and management

Answer 3

Bloods:
Raised amylase (slightly)
Raised ALP

Normal ALT/AST
Normal bilirubin

Signs:
Biliary colic pain
Fever
NO jaundice

Management:
Fluids