Question

A 36-year-old presents with RUQ pain, fever, and jaundice. Labs: raised ALP and bilirubin. Suspected ascending cholangitis. Initial management should include:

Accepted Answer

IV broad-spectrum antibiotics and urgent biliary drainage

Answer

Oral co-amoxiclav and discharge

Answer

Urgent ERCP without antibiotics

Answer

HIDA scan first

Answer

Wait for ultrasound then decide

Practice question

A 36-year-old presents with RUQ pain, fever, and jaundice. Labs: raised ALP and bilirubin. Suspected ascending cholangitis. Initial management should include: