Tummy Ache

Gastrointestinal System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This middle aged gentleman has presented with right hypochondriac pain of acute onset, in association with a swinging fever and jaundice.\n\nThis is the classical \u0027Charcot\u0027s triad\u0027 of acute cholangitis - and this should be presumed to be a case of such until proven otherwise.\n\nThat said, while Charcot\u0027s triad has a high specificity for acute cholangitis, there are a few other conditions for which it may yield a false positive result - most prominently, acute cholecystitis and acute pancreatitis.\n\nRegardless of the actual underlying condition, what matters immediately is that this patient is acutely, severely ill - note in particular the tachycardia and blood pressure which is towards the lower limit of normal.\n\nHe should immediately be moved "}]}

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