Final diagnosis
Ascending Cholangitis
Must-not-miss
Acute cholecystitis; choledocholithiasis; hepatitis; pancreatitis; liver abscess
What's in the guide
24 pages, mapped to the rubric
24Pages
- Full history question bank with verbatim patient responses
- Physical exam checklist with documentation language
- Ranked differentials with platform-verified names
- Full EHR documentation — Subjective + Objective
- Tests Ordered, each with scoring rationale
- Complete 6-part management plan
- SOAP note, ready to submit
- APA-formatted scholarly references
Scoring logic, decoded
The traps that quietly cost points
These are the point-loss patterns iHuman never tells you about. We map every one for this case.
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Charcot triad: fever + jaundice + RUQ pain — present in ~50-70% of cases
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Reynolds pentad: add altered mental status + hypotension = severe/suppurative cholangitis
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ERCP is both diagnostic and therapeutic — emergent decompression needed
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Blood cultures + broad-spectrum antibiotics (piperacillin-tazobactam) before ERCP
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Labs: elevated bilirubin, ALP, GGT >> AST/ALT (cholestatic pattern)
Guide format preview
This isn't your case yet — here's our format
We haven't built Evita Alonso — Ascending Cholangitis yet. These are stamped excerpts from a completed guide (Harvey Hoya - Hypertension Stage 2) so you can see the exact structure. Your guide will be written specifically for Evita Alonso — Ascending Cholangitis and follow this same format.
Example
ExampleCover & overview
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ExampleHistory bank
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ExamplePE checklist
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ExampleTests & DDx