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Case Study 3: Ascending CholangitisScenario:%u2022 A 70-year-old woman presents with fever, right upper quadrant pain, and jaundice. She appears confused and her blood pressure is low. She has a history of gallstones.Clincher:%u2022 This patient is likely experiencing ascending cholangitis.Rationale:%u2022 Presence of Charcot's triad (fever, right upper quadrant pain, jaundice)%u2022 Additional symptoms of confusion and hypotension complete Reynolds' pentad%u2022 History of gallstones increases the risk of biliary obstructionManagement:%u2022 Immediate IV antibiotics, fluid resuscitation, and urgent ERCP to relieve the obstruction.
