A 50-year-old woman presents with severe right upper quadrant abdominal pain, fever and jaundice. Ultrasound shows a dilated common bile duct with sto...

Question

A 50-year-old woman presents with severe right upper quadrant abdominal pain, fever and jaundice. Ultrasound shows a dilated common bile duct with stones. According to biliary sepsis management principles, what is the most appropriate next step after initial resuscitation and antibiotics?

Accepted Answer

ERCP for biliary decompression

Answer

Elective cholecystectomy in 6 months

Answer

Percutaneous cholecystostomy only

Answer

Oral antibiotics and discharge

Answer

Observation alone with repeat ultrasound

au-amc MCQ (SBA): Acute ascending cholangitis

A 50-year-old woman presents with severe right upper quadrant abdominal pain, fever and jaundice. Ultrasound shows a dilated common bile duct with stones. According to biliary sepsis management principles, what is the most appropriate next step after initial resuscitation and antibiotics?