Symptoms:
Charcoat’s Triad:
Right Upper Quadrant Pain
Fever
Jaundice
Reynolds Pentad:
Right Upper Quadrant Pain
Fever
Jaundice
Sepsis (Hypotension)
Mental Disturbances
Tokyo Criteria
A = clinical inflammation
Fever
CRP raised
TLC raised
B= Evidence of obstruction
By CT or Ultrasound: stone, stricture, CA Pancrease.
C= Biochemical evidence:
Bilirubin raised
ALP raised
GGT raised
A+B+C= definitive
A+C/B+C=Suspected.
Management:
Conservative Treatment:
IV fluids (Ringer lactate/NS)
Analgesics(Tramol plus metomide, Ketorolac, Nelbin)
Anti-pyretics(Paracetamol)
IV antibiotics(Cefrriaxone)
If itching:
→ Anti-histamine.
→ Questeron sachet (Cholestyramine)
→ Ursu sachet - Ursodeoxycholic acid
Specific Treatment:
Biliary drainage by
*ERCP
*PTBD
*Surgical
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