Question

A 45-year-old with RUQ pain and fever has suspected acute cholangitis (Charcot triad). Initial management?

Accepted Answer

Immediate broad-spectrum antibiotics and supportive care; arrange biliary decompression

Answer

Delay antibiotics until ERCP

Answer

Cholecystectomy first

Answer

Outpatient oral antibiotics

Answer

No fluids to avoid worsening cholestasis

Practice question

A 45-year-old with RUQ pain and fever has suspected acute cholangitis (Charcot triad). Initial management?