A 58-year-old with suspected choledocholithiasis has cholangitis (fever, RUQ pain, jaundice) and bilirubin 6.2 mg/dL. RUQ ultrasound shows CBD dilatio...

Question

A 58-year-old with suspected choledocholithiasis has cholangitis (fever, RUQ pain, jaundice) and bilirubin 6.2 mg/dL. RUQ ultrasound shows CBD dilation and stones in the CBD. Best next step?

Accepted Answer

Perform urgent ERCP for biliary decompression

Answer

RUQ pain

Answer

jaundice) and bilirubin 6.2 mg/dL. RUQ ultrasound shows CBD dilation and stones in the CBD. Best next step?

Answer

Schedule elective cholecystectomy only

Answer

Start ursodeoxycholic acid

gastroenterology MCQ (SBA): ASGE Guideline (2019): Role of Endoscopy in the Evaluation and Management of Chole

A 58-year-old with suspected choledocholithiasis has cholangitis (fever, RUQ pain, jaundice) and bilirubin 6.2 mg/dL. RUQ ultrasound shows CBD dilation and stones in the CBD. Best next step?