Core EM - Emergency Medicine Podcast

Episode 118.0 – Acute Cholangitis

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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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