Question

A 42-year-old man presents with right upper quadrant pain and tenderness. Ultrasound demonstrates gallstones with thickened gallbladder wall and positive sonographic Murphy's sign but no bile duct dilatation. He is febrile at 38.2 °C and WBC is elevated. What is the most likely diagnosis?

Accepted Answer

Acute cholecystitis

Answer

Biliary colic

Answer

Acute cholangitis

Answer

Gallstone pancreatitis

Answer

Hepatic abscess

Practice question

A 42-year-old man presents with right upper quadrant pain and tenderness. Ultrasound demonstrates gallstones with thickened gallbladder wall and positive sonographic Murphy's sign but no bile duct dilatation. He is febrile at 38.2 °C and WBC is elevated. What is the most likely diagnosis?