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MediumGastroenterologyAcute Cholangitisukmlamrcp part 1panemrcem sba

A 55-year-old woman presents with right upper quadrant pain, fever, and jaundice. Ultrasound scan confirms gallstones in the gallbladder and a dilated common bile duct (CBD) of 9mm. Liver function tests show bilirubin 60 µmol/L, ALT 250 IU/L, ALP 400 IU/L. What is the most likely diagnosis?

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