Question

A 45-year-old woman presents with right upper quadrant pain, fever, and jaundice. Ultrasound shows gallstones and a dilated common bile duct. What is the most appropriate next step in management?

Accepted Answer

Endoscopic retrograde cholangiopancreatography (ERCP) with biliary decompression

Answer

Elective laparoscopic cholecystectomy in 6 weeks

Answer

Percutaneous cholecystostomy

Answer

Oral ursodeoxycholic acid dissolution therapy

Answer

Observation only

Practice question

A 45-year-old woman presents with right upper quadrant pain, fever, and jaundice. Ultrasound shows gallstones and a dilated common bile duct. What is the most appropriate next step in management?