Episode 118.0 – Acute Cholangitis - a podcast by Core EM
from 2017-10-23T11:00:13
Part II of II on gallbladder disorders finishing up with acute cholangitis.
https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_118_0_Final_Cut.m4a
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Tags: Gallbladder, Gastroenterology, General Surgery, GI
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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Radiopaedia: Acute cholangitis
Core EM: Cholangitis
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Website of Core EM