Thursday, July 22, 2010

Charcot's triad (Cholangitis)

For a long time, I had trouble remembering this.

Charcot's Triad, seen in Acute Cholangitis, consists of:

  1. Fever
  2. Pain
  3. Jaundice
If the following two conditions are added, you get Reynold's Pentad which is indicative of Septic Shock in the setting of Acute Cholangitis. 
  1. Shock
  2. Mental Obtunation
Treat with Fluids, Antibiotics and Emergency Biliary Decompression! The latter can be done with ERCP, Percutaneously or via T Tube Decompression.

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