A 40-year-old woman presents with right upper quadrant abdominal pain, fever, and jaundice. Examination reveals Murphy sign and mild hypotension. Acco...

Question

A 40-year-old woman presents with right upper quadrant abdominal pain, fever, and jaundice. Examination reveals Murphy sign and mild hypotension. According to acute cholangitis management principles, what is the most appropriate initial management?

Accepted Answer

Intravenous broad-spectrum antibiotics and urgent biliary decompression

Answer

Oral antibiotics and discharge with outpatient ultrasound

Answer

Observation without treatment

Answer

Immediate laparoscopic cholecystectomy without antibiotics

Answer

NSAIDs only for pain

ca-mccqe1 MCQ (SBA): Acute cholangitis

A 40-year-old woman presents with right upper quadrant abdominal pain, fever, and jaundice. Examination reveals Murphy sign and mild hypotension. According to acute cholangitis management principles, what is the most appropriate initial management?