Question

A 72-year-old man presents with chronic fatigue and pruritus. He has a long history of heavy alcohol use. Laboratory tests show bilirubin 45 µmol/L, ALP 350 U/L and GGT 400 U/L. Ultrasound reveals a dilated common bile duct with stones. What is the most appropriate next step in management?

Accepted Answer

Schedule elective ERCP with stone extraction

Answer

Start ursodeoxycholic acid

Answer

Commence high-dose steroids

Answer

Advise watchful waiting

Answer

Perform liver biopsy

Practice question

A 72-year-old man presents with chronic fatigue and pruritus. He has a long history of heavy alcohol use. Laboratory tests show bilirubin 45 µmol/L, ALP 350 U/L and GGT 400 U/L. Ultrasound reveals a dilated common bile duct with stones. What is the most appropriate next step in management?