#Cholangitis

-biliary infection likely 2/2 to stone, stent, malignancy, post-ERCP

-WBC count: ***, AST/ALT: ***, Alk Phos: ***, TBili: ***, Dbili

- altered mental status, low BP, fever, jaundice, RUQ pain

-Lactate: ***

-RUQ US: ***

-https://www.mdcalc.com/calc/10142/tokyo-guidelines-acute-cholangitis-2018

-severity based on tokyo guidelines:

Plan:

-Zosyn ***mg IV q***hr OR Cefepime + Flagyl

- drainage via ERCP, cholecystectomy

- if on anticoagulation please hold***