Cholangitis history and symptoms

Overview
50-60% of patients will have all three of Charcot’s triad. 95% will have fever, 66% abdominal pain, jaundice is noted in 80% (When bilirubin >2.5). Nonobstructive stones are more likely to present without pain or fever. Elderly patients may present only with hypotension. Dark urine is noted and acholia can be seen.

Symptoms
The following symptoms may occur:
 * Abdominal pain
 * In the right upper side or middle of the upper abdomen
 * May come and go
 * Pain is sharp, crampy, or dull
 * Pain may move the back or below the right shoulder blade


 * Fever and chills
 * Clay-colored stools
 * Dark urine
 * Nausea and vomiting
 * Yellowing of the skin (jaundice) -- may come and go