International consensus diagnostic criteria for neuromyelitis optica ...
Diagnostic Criteria for Cholangitis
2
Share Like Tweet 0 0 Download SocBut tons http://www.m edicalcriteria.com . Unifying Concepts. All rights reserved. Diagnostic Criteria for Cholangitis User Rating: / 33 Poor Best Written by G. Firman MD Wednesday, 27 May 2009 19:00 Diagnostic criteria of acute cholangitis: Tokyo Guidelines A. Clinical context and clinical manifest ations 1. History of biliary disease 2. Fever and/or chills 3. Jaundice 4. Abdominal pain (right upper quadrant or upper abdominal) B. Laboratory data 5. Evidence of inflammatory response a 6. Abnormal liver function tests b C. Imaging findings 7. Biliary dilatation, or evidence of an etiology (stricture, stone, stent etc) Suspected diagnosis Two or more items in A Definite diagnosis (1) Charcot’s triad (2 + 3 + 4) (2) Two or more items in A + both items in B and item C a Abnorm al WBC count, increase of serum C-reactive protein (CRP) level, and other changes indicating inflammat ion b Increas ed serum ALP, r-GTP (GGT), AST, and ALT levels Crit eria for sev erity assessment of acute cholangitis: Tokyo Guidelines Severity of acute cholangitis Criterion Mild (grade I ) Moderate (grade I I ) Severe (grade I I I ) Onset of organ dysfunction No No Yes Response to initial medi cal treatment a Yes No No a Consisting of general supportive care and antibiotics Definitions of severity assessment criteria for acute cholangitis Mild (grade I) acute cholangitis “Mild (grade I)” acute cholangitis is defined as acute cholangitis which responds to the initial medical treatment a Moderate (grade II) acute cholangitis “Moderate (grade II)” acute cholangitis is defined as acute cholangitis that does not respond to the initial medical treatment a and Diag nost ic Cri teri a for Ch olan git is http://www.med icalcri teria.com/sit e/i ndex.php?view=art icle &cat id =54... 1 of 2 19-02-2012 15:18
-
Upload
pedroaltamencia -
Category
Documents
-
view
217 -
download
0
Transcript of Diagnostic Criteria for Cholangitis
8/3/2019 Diagnostic Criteria for Cholangitis
http://slidepdf.com/reader/full/diagnostic-criteria-for-cholangitis 1/2
8/3/2019 Diagnostic Criteria for Cholangitis
http://slidepdf.com/reader/full/diagnostic-criteria-for-cholangitis 2/2
is not accompanied by organ dysfunction
Severe (grade III) acute cholangitis
“Severe (grade III)” acute cholangitis is defined as acute cholangitis that is associated with the onset of dysfunction at least in any
one of the following organs/systems:
1. Cardiovascular system: Hypotension requiring dopamine >/= 5 ug/kg per min, or any dose of dobutamine
2. Nervous system: Disturbance of consciousness
3. Respiratory system: PaO2/FiO2 ratio < 300
4. Kidney: Serum creatinine > 2.0 mg/dl
5. Liver: PT-INR > 1.56. Hematological system: Platelet count < 100 000 /ul
Note: compromised patients, e.g., elderly (>75 years old) and patients with medical comorbidities, should be monitored closelya
General supportive care and antibiotics
References:
Lee CC, Chang IJ, Lai YC, Chen SY, Chen SC. Epidemiology and prognostic determinants of patients with bacteremic
cholecystitis or cholangitis. Am. J. Gastroenterol. 2007 Mar;102(3):563-9. [Medline]
1.
Wada K, Takada T, Kawarada Y, Nimura Y, Miura F, Yoshida M, Mayumi T, Strasberg S, Pitt HA, Gadacz TR, Büchler MW, Belghiti J, de Santibanes E, Gouma DJ, Neuhaus H, Dervenis C, Fan ST, Chen MF, Ker CG, Bornman PC, Hilvano
SC, Kim SW, Liau KH, Kim MH. Diagnostic criteria and severity assessment of acute cholangitis: Tokyo Guidelines. J
Hepatobiliary Pancreat Surg. 2007;14(1):52-8. [Medline]
2.
Created: Jul 16, 2007
Related news items:
Diagnostic Criteria for Refractory Ascites
Stage Classification of Gastric Ulcer by Sakita-Miwa
Indications and Contraindications for Abdominal Paracentesis
Diagnostic Criteria for Zollinger-Ellison Syndrome (ZES)
Diagnostic Criteria for Wilson's disease
Newer news items:
Criteria for Acute Upper Gastrointestinal Hemorrhage
The Glasgow Blatchford Score (GBS)
The Rockall Scoring System
Diagnosis of Gilbert's Syndrome
Traditional Diagnostic Criteria for Hereditary Hemochromatosis
Older news items:
ROME II Diagnostic Criteria for Functional Disorders of the Anus and RectumDiagnosis of Spontaneous Bacterial Peritonitis (SBP)
Diagnostic Criteria for Autoimmune Pancreatitis
Severity Criteria for Acute Pancreatitis
ROME II Diagnostic Criteria for Functional Disorders of the Biliary T ract and the Pancreas
<< Previous page Next page >>
Last Updated on Saturday, 28 January 2012 14:10
http://www.medicalcriteria.com. Unifying Concepts. All rights reserved.
gnostic Criteria for Cholangitis http://www.medicalcriteria.com/site/index.php?view=article&catid=54...
2 19-02-2012 15:18
