A 49-year-old woman presents with right upper quadrant pain radiating to the right shoulder, fever and a positive Murphy's sign. Ultrasound shows gall...

Question

A 49-year-old woman presents with right upper quadrant pain radiating to the right shoulder, fever and a positive Murphy's sign. Ultrasound shows gallstones and a thickened gallbladder wall. What is the most appropriate initial management?

Accepted Answer

Admit for intravenous antibiotics and early laparoscopic cholecystectomy

Answer

Discharge with dietary advice alone

Answer

Elective laparoscopic cholecystectomy in 6 months

Answer

ERCP with sphincterotomy as first-line

Answer

Start Ursodeoxycholic acid

uk-plab-1 MCQ (SBA): Acute cholecystitis

A 49-year-old woman presents with right upper quadrant pain radiating to the right shoulder, fever and a positive Murphy's sign. Ultrasound shows gallstones and a thickened gallbladder wall. What is the most appropriate initial management?