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Biliary colic — PARA MCQ

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ModerateSurgery - HepatobiliaryBiliary colicPARA

A 57-year-old woman has acute severe right upper quadrant pain after fatty meals. She is afebrile, Murphy sign is negative and liver tests are normal. Ultrasound shows gallstones without wall thickening. What is the most likely diagnosis?

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Correct answer: CBiliary colic

Episodic right upper quadrant pain after fatty meals with gallstones but no fever, inflammatory signs or abnormal liver tests is biliary colic.

Reference: NICE CKS: Gallstones