Ascending Cholangitis Flashcards
1
Q
what is ascending cholangitis?
A
bacterial infection of the biliary tree
2
Q
what bacteria typically causes ascending cholangitis?
A
E.coli
3
Q
what is the triad seen in ascending cholangitis?
A
Charcot’s triad
* RUQ pain
* fever
* jaundice
seen in 20-50% of patients
4
Q
what are the features of ascending cholangitis?
A
- fever
- RUQ pain
- jaundice
- hypotenion
- confusion
5
Q
what is reynold’s pentad?
A
charcots triad + hypotension and confusion
6
Q
what is seen in blood results in ascending cholangitis?
A
raised inflammatory markers
7
Q
what is the first-line investigation in ascending cholangitis?
A
ultrasound
8
Q
what is the most common predisposing factor for ascending cholangitis?
A
gallstones
9
Q
what is the management of ascending cholangitis?
A
- IV antibiotics
- ERCP after 24-48 hours to relieve any obstruction
10
Q
what is ERCP?
A
endoscopic retrograde cholangiopancreatography
