Volume 5, Number 46; June 08, 2006
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Volume 5, Number 46; June 08, 2006 |
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58-year-old African-American diabetic female brought in with AMS.
Recommended reading:
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Patient: 58 year old diabetic, hypertensive African-American woman with history of cholelithiasis. Patient exhibited scleral icterus and sublingual juandice but not jaundiced skin. There were loose crackles in the right lower lobe region. Liver enzymes were AST: 249 / ALT: 205 / APh: 538 and LDH was 301. Total bil 3.0, Direct bil 2.2
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Handout:
Fulltext Available in MDConsult using Journal Search and the search term: 14696301 <1> Unique Identifier [PMID]: 14696301 Authors: Yusoff IF. Barkun JS. Barkun AN. Institution: McGill University Health Centre, 1650 Cedar Avenue, Montreal, Quebec H3G 1A4, Canada. Title: Diagnosis and management of cholecystitis and cholangitis. [Review] [148 refs]
Source: Gastroenterology Clinics of North America. 32(4):1145-68, 2003 Dec. Abstract: Cholelithiasis is a prevalent condition in Western populations. Most cases are asymptomatic but complications can occur. Acute cholangitis, cholecystitis, and gallstone pancreatitis are the most common biliary tract emergencies and are usually caused by biliary calculi. Whenever possible, acute cholecystitis should be treated with early LC. AAC is an uncommon condition usually affecting patients with significant comorbidities. Treatment is usually with percutaneous cholecystostomy, which often is also the only required therapy. Endoscopic drainage is the preferred form of biliary decompression in acute cholangitis and these patients should subsequently undergo elective LC unless unfit for surgery. Effective and optimal management of biliary tract emergencies relies on close cooperation between gastroenterologist, surgeon, and radiologist. [References: 148] Publication Type: Journal Article. Review.
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Clinical Question: 1) How is acute cholangitis properly managed?
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Readings:
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Resident Report / Department of Medicine & Grady Branch Library Emory University School of Medicine 2005 Edition Participating Faculty: Carlos Del Rio MD / Joyce Doyle MD / Lorenzo Difrancesco MD / Erich Folch MD / Alicia Hidron MD
Contact:
Karl Woodworth
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