症例 challenge · Gastroenterology / Hepatobiliary / Emergency · teaching

Acute Cholangitis — Management Pathway · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on TG18 Tokyo Guidelines

Case #1Gastroenterology / Hepatobiliary / Emergency

📋 Case data

TG18 diagnosisDoes not meet

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 1 · TG18 diagnosis

Does it meet TG18 diagnosis (A systemic inflammation + B cholestasis + C imaging)?

💡 A systemic inflammation (fever/chills, abnormal inflammatory markers); B cholestasis (jaundice T-bil ≥2 mg/dL, abnormal liver tests); C imaging (biliary dilation, cause such as stone/stricture/stent). Suspected = A + (B or C); definite = A + B + C. Charcot's triad (fever, jaundice, RUQ pain) has low sensitivity but high specificity.

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.