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Suspected acute cholecystitis — PARA MCQ

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ModerateSurgery - HepatobiliarySuspected acute cholecystitisPARA

A 58-year-old woman with known gallstones has right upper quadrant pain, fever and vomiting. Murphy sign is positive and inflammatory markers are raised. What is the most appropriate investigation?

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Correct answer: CAbdominal ultrasound

Ultrasound is the first-line imaging test for suspected acute cholecystitis, assessing gallstones, gallbladder wall thickening and biliary dilatation.

Reference: NICE CKS: Cholecystitis; Association of Upper GI Surgery guidance