Question

A 48-year-old with obesity and OSA presents with severe right upper quadrant pain; ultrasound shows gallstones and dilated CBD, bilirubin 4.2 mg/dL. Best next step?

Accepted Answer

ERCP to relieve obstruction

Answer

Immediate laparoscopic cholecystectomy only

Answer

Observe and repeat labs in 48 hours

Answer

MRCP only

Answer

Start ursodiol

Practice question

A 48-year-old with obesity and OSA presents with severe right upper quadrant pain; ultrasound shows gallstones and dilated CBD, bilirubin 4.2 mg/dL. Best next step?