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acute cholangitis

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acute cholangitis
Gastroenterology Acute bile duct inflammation Etiology Stricture or obstruction of bile ducts, infection, pancreatic reflux, drugs, chemicals Clinical Right upper quadrant pain that may radiate to the shoulder, variable severity, N&V, constipation, episodic chills, fever, slow pulse, Murphy sign, anorexia, weight loss; spontaneous remission is rare Imaging ERCP, percutaneous transhepatic cholangiography Lab ↑ WBCs, ↑ BR, urobilinogen in urine Management Cholecystectomy


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Endoscopic biliary drainage for severe acute cholangitis in biliary obstruction as a result of malignant and benign diseases.
[3] Hepatobiliary and pancreatic ascariasis can cause 5 distinct clinical presentations: biliary colic, acalculous cholecystitis, acute cholangitis, acute pancreatitis, and hepatic abscess.
 
 
 
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