Which physical findings suggest acute cholangitis?

Updated: Dec 29, 2017
  • Author: Timothy M Scott, DO; Chief Editor: Barry E Brenner, MD, PhD, FACEP  more...
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Answer

Physical examination may reveal the following:

  • Fever (90%), although elderly patients may have no fever

  • RUQ tenderness (65%)

  • Mild hepatomegaly

  • Jaundice (60%)

  • Mental status changes (10-20%)

  • Sepsis

  • Hypotension (30%)

  • Tachycardia

  • Peritonitis (uncommon, and should lead to a search for an alternative diagnosis)


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