Cholangitis: Bacterial

Etiology

  • GNRs, enterococcus
  • Obstructed common bile duct from stone, cancer, stricture, other

Symptoms

  • Fever
  • Nausea
  • Jaundice
  • Hx gall stones
  • Right/upper abd pain
  • Often severe illness
  • Charcot's Triad: RUQ pain, F, jaundice
  • Reynold's Pentad (more severe): RUQ pain, F, jaundice, hypotension, confusion

Physical Exam Findings

  • Fever
  • Jaundice
  • Icterus
  • Pain in epigastric area/RUQ