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MediumGastroenterologySuspected biliary obstruction/cholangitisau-amcau-acem

A 45-year-old man presents with colicky right upper quadrant abdominal pain radiating to the back, associated with fever and jaundice. Examination reveals right upper quadrant tenderness and a positive Murphy sign. Laboratory tests show elevated bilirubin and alkaline phosphatase. What is the most appropriate next step in management?

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