acute cholangitis Flashcards
1
Q
what is acute cholangitis?
A
infection of the biliary tree caused by an obstruction causing inflammation
2
Q
what are the key diagnostic factors of acute cholangitis?
A
- presence of risk factors
- RUQ/upper abdominal pain and tenderness
- jaundice
3
Q
what are the risk factors for acute cholangitis?
A
age greater than 50 years
cholelithiasis
benign stricture
malignant stricture
4
Q
what are the first line investigations to order?
A
FBC serum urea and creatinine ABG analysis CRP serum LFTs serum potassium and magnesium
5
Q
what would be the 1st line management for an acutely unwell patient with this condition
A
Iv antibiotics, fluid resuscitation and biliary decompression
