University:
Stanford University
Course:
MED 101 | Human Anatomy
Academic year:

2023
Views:

334

Pages:

1
Author:

larbi43100

‭Angiocholitis (or cholangitis)‬ ‭It results clinically in Caroli's triad: pain (hepatic colic), fever, jaundice.‬ ‭Chills can punctuate the progression of the fever: they indicate bacteremia‬ ‭and require blood cultures to be taken.‬ ‭While non-suppurative cholangitis usually responds well to treatment,‬ ‭suppurative cholangitis (pus under pressure in a completely blocked duct)‬ ‭causes a very serious picture with mental confusion, septic shock and multiple‬ ‭liver abscesses. The mortality rate approaches 100% in the absence of rapid‬ ‭intervention.‬ ‭Obstructive jaundice‬‭-It is accompanied by discoloration‬‭of stools and dark‬ ‭urine. It is necessary to consider lithiasis of the common bile duct in a patient‬ ‭suffering from cholecystitis with serum bilirubin greater than 5 mg/dL (85.5‬ ‭micromole/L). Above 20 mg/dL (342 micromole/L), the obstacle is more likely‬ ‭neoplastic than stone.‬ ‭Pancreatitis‬‭-You should think about it when you experience‬‭back pain‬ ‭or pain in the left hypochondrium, as well as in the event of pleural‬ ‭effusion (especially on the left), and prolonged vomiting.‬ ‭A minimal pancreatic inflammatory reaction is also common: 15% in cases‬ ‭of cholecystitis, more than 30% in cases of common bile duct lithiasis.‬ ‭Biological signs‬‭-There is polynuclear neutrophil leukocytosis,‬‭as well as an‬ ‭elevation of transaminases and gamma-GT. During chills or feverish peaks,‬ ‭blood cultures make it possible to identify the germs (colibacilli, Klebsiella,‬ ‭Proteus, Pseudomonas, etc.).‬