USIMD logo
  USIMD home USIMD log In Sign Up!
USIMD Life : Your Healthy Living. Click Here!
Welcome, USIMD.com medical contents search April 17, 2014
       USIMD Life
       Medical Supplies
       Calorie Count
       Self-Diagnosis
       Physician Search
       Message Board
      E-mail Doctor
      E-mail Veterinarian
      Self-Diagnosis
      Health-O-Matic Meter
      Calorie Count
      Natural Medicine
      Vitamins & Minerals
      Alternative Living
      My Health Chart
      Diseases & Treatments
      Atlas of Diseases
      Sexually Transmitted
      Diseases
      Drug Information
      Illegal Drugs
      Lab & Diagnostic Tests
      Internal Medicine
      Women’s Health
      Pediatrics
      Eye Disorders
      Skin Disorders
      Headache
      Mental Health
      Radiology
      Neurology
      Allergy
      Resource Links
      Physician Directory
      Dentist Directory
      Hospital Directory





Cholangitis

more about Cholangitis


Choledocholithiasis

  • Choledocholithias occurs when gallstones become stuck in the common bile duct, which connects the gallbladder and pancreas to the intestine. Cholangitis occurs when the common bile duct becomes infected.

  • Sudden, severe pain in middle upper abdomen
  • Pain may radiate to right shoulder
  • Occasionally painless
  • Fever
  • Chills
  • Nausea/vomiting
  • Severe case
  • Confusion
  • Lethargy
  • Low Blood Pressure

  • Examination:
    1. Tenderness in middle upper abdomen
    2. Yellow skin or eyes
  • Laboratory Findings:
    1. Elevated Bilirubin level
    2. Bilirubin in urine
    3. Elevated Alkaline phosphatase
    4. Amylase may be elevated
    5. ALT, AST (liver tests) may be elevated
    6. Prolonged Prothrombin time may occur
  • Imaging:
    1. Ultrasound
    2. CT scan
    3. Radio-nuclide scan
    4. ERCP (test passing a scope down the esophagus and into the opening of the common bile duct) -- ERCP can be used remove an obstructed stone.

  • Antibiotics intravenously
  • Vitamin K if clotting problems are present
  • Stone removal by ERCP (see above)
  • Lithotripsy (sound waves used to break apart) may be useful in some cases.
  • Biliary stenting (drainage tube placed in common bile duct) if necessary
  • Surgery if necessary

  • Biliary Cirrhosis -- permanent damage to liver can occur especially if untreated.
  • Bleeding problems -- because the liver's ability to make clotting factors is damaged.




more about Cholangitis


If you want your friend to read or know about this article, Click here






medical contents search

Home   |   About Us   |   Contact Us   |   Employment Ad   |   Help

Terms and Conditions under which this service is provided to you. Read our Privacy Policy.
Copyright © 2002 - 2003 USIMD, Inc All right reserved.