Episode 118.0 – Acute Cholangitis - a podcast by Core EM

from 2017-10-23T11:00:13

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Part II of II on gallbladder disorders finishing up with acute cholangitis.







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Show Notes

Take Home Points



Cholangitis is an acute bacterial infection of the bile ducts resulting from common bile duct obstruction and is potentially life-threatening (mortality 5-10%, acute bacterial infection of the bile ducts

Diagnosis is based on clinical findings and while imaging can be supportive, it is frequently non-diagnostic. Look for RUQ tenderness with peritoneal signs and fever

A normal ultrasound does not rule out acute cholangitis

Treatment focuses on supportive care, broad spectrum antibiotics and consultation with a provider that can provide biliary tract decompression (IR, gastroenterology or general surgery)



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