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EMCrit Podcast 208 – Felipe Teran on Why We are Doing CPR Wrong

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viernes, 26 de febrero de 2016

Cholangitis

emDocs - February 26, 2016 - 
Author: Willis G - Edited by: Robertson J and Koyfman A
Take Home Points
  • Always think about cholangitis in any ill-appearing patient with RUQ pain or undifferentiated sepsis.
  • Charcot’s triad and Reynold’s pentad are not reliable. Absence of these clinical findings does not rule out cholangitis. Use the total picture with clinical exam, labwork, and imaging studies.
  • Early antibiotics and consultation for biliary decompression are mainstays of therapy.
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(Image By Salim Rezaie @srrezaie #FOAMed)