GI / HBP > Cholangitis > Flashcards

Cholangitis Flashcards

(19 cards)

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1
Q

What is acute cholangitis?

A

Inflammation/Infection of the
bile ducts

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2
Q

What is the name of the cholangitis triad?

A

Charcot’s triad

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3
Q

Charcot’s Triad

A

Fever
Jaundice
RUQ pain

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4
Q

Cholangitis Sx

A
  • Charcot’s Triad (Fever, Jaundice, RUQ pain)
  • Pale stool
  • Dark urine
  • Puritis
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5
Q

Most common causative organisms

A
  • E.coli
  • Klebsiella
  • Enterococcus
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6
Q

Conservative Acute Cholangitis Mx

A
  • IV fluids
  • IV Abx
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7
Q

Complications of Acute cholangitis

A

Sepsis and multi-organ failure

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8
Q

Ix for Acute cholangitis

A

1st line: Abdo USS (bile duct dilatation)
- Magnetic Resonance Cholangiopancreatography (MRCP)

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9
Q

Acute cholangitis causes

A
  1. Biliary calculi (gallstones)
  2. ERCP procedure causes infection
  3. Cholangiocarcinoma
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10
Q

what type of hepatic jaundice does cholangitis cause

A

Post-hepatic jaundice

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11
Q

Cholangitis clinical signs

A
  • Pyrexia
  • RUQ tenderness
  • Rigors
  • Jaundice
  • Tachycardia
  • Hypotension
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12
Q

how to differentiate cholangitis and cholancystitis

A
  • Absence of jaundice in cholecystitis
  • NO CBD dilatation
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13
Q

Blood test findings in cholangitis

A
  • Leucocytosis
  • Raised ALP
  • Raised bilirubin >50
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14
Q

Gold standard Ix

A

Endoscopic Retrograde Cholangiopancreatography (ERCP)

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15
Q

Definitive Tx for cholangitis

A

Endoscopic biliary decompression (ERCP with or without a sphincterotomy and stenting)

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16
Q

ERCP complications

Study These Flashcards
A
  • cholangitis
  • pancreatitis
  • bleeding (more common when a sphincterotomy is performed) - perforation
17
Q

what intervention is used for patient too sick for ERCP

Study These Flashcards
A

2nd line: Percutaneous Transhepatic Cholangiography (PTC)

18
Q

Increase mortality rate factors

Study These Flashcards
A
  • delayed diagnosis
  • liver failure
  • liver cirrhosis
  • CKD
  • hypotension
  • female gender
  • > 50yrs
19
Q

CT scans indications in the biliary systems

Study These Flashcards
A
  • Malignancy - pancreatic, cholangiocarcinoma
  • Perforation
  • Abscesses
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