Acute Cholangitis: Symptoms Plus Management, Acute cholangitis triad

-
Acute Cholangitis: Symptoms Plus Management

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


Comments

Post a Comment

Popular posts from this blog

10 Tips For Cryptocurrency Trading You Probably Knew Nothing About

-
  10 Tips For Cryptocurrency Trading You Probably Knew Nothing About Every day we listen to reports on various news platforms about this or that with regard to cryptocurrencies and, with the recent market correction, the market has been in a state of confusion. Some, like ABC News as can seen in the video below, reported that there is a possible bubble in market prices months ago. But that’s exactly the issue; everyone seems to be pointing out the problem, but no one actually seems to be keen on providing solutions. And those that care enough to guide others, do so at a fee in the form of online courses, paid seminars, and more. This is why I saw the need to put up this post and provide some useful tips to guide your trading in a time when the market seems to be bullish. Other than the tips, I will also share with some of the most volatile cryptocurrencies you need to watch out for and the best one among them for day trading. These tips are more of safety rules; and as the sold...
Read more

Understanding Gallstones: Causes, Symptoms, and Treatment Options

-
Image
 Title: Understanding Gallstones : Causes, Symptoms, and Treatment Options Introduction: Gallstones are a not unusualplace scientific situation that influences tens of thousands and thousands of human beings worldwide. These small, hardened deposits can shape withinside the gallbladder and motive big pain if left untreated. In this blog, we can delve into the important scientific factors surrounding gallstones, from their reasons and signs and symptoms to the to be had remedy alternatives. Understanding this situation can empower people to take proactive measures and are looking for well timed scientific attention. Let's discover the arena of gallstones together. Keyword Phrases: Gallstones, Causes of Gallstones, Symptoms of Gallstones, Gallstone Treatment Options 1. What are Gallstones? Gallstones are stable debris that shape withinside the gallbladder, a small organ placed under the liver. They are mostly composed of ldl cholesterol and bilirubin, a pigment produced all through t...
Read more

Healing of Laparotomy Wound After Bogota Application: A Case Study

-
Image
Introduction: Laparotomy , a surgical procedure involving a large incision through the abdominal wall, is commonly performed for various medical conditions. One challenge post-surgery is the management of the wound to promote optimal healing and reduce the risk of complications. In recent years, the use of Bogota bags, also known as abdominal vacuum dressings, has gained traction as a promising approach to wound care. In this blog, we delve into the case study of a patient whose laparotomy wound healed remarkably well following the application of a Bogota bag. Case Presentation: Patient’s details sensored. The patient underwent a laparotomy procedure due to FAI, later developed abdominal compartment. Following the surgery, the surgical team applied a Bogota bag to the abdominal wound. The Bogota bag, consisting of an airtight plastic covering connected to a suction device, creates negative pressure around the wound, promoting drainage and reducing the risk of infection. Healing Proc...
Read more