Approach to biliary colic Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 62-year-old man is evaluated in the emergency department for severe abdominal pain. The patient states that for the past few days he has experienced subjective fevers and intense abdominal pain after meals that has been associated with nausea and vomiting. The pain and nausea are now constant. Temperature is 38.5 ºC (101.3 ºF), pulse is 122/min, blood pressure is 100/89 mmHg, respirations are 10/min, and oxygen saturation is 99% on room air. On physical examination, the patient is ill-appearing and jaundiced. The right upper quadrant is tender to palpation. There is no tenderness in the epigastric region, no rebound tenderness, no rigidity, and no guarding. Serum white blood cell count is elevated. Liver chemistries show elevations in AST, ALT, alkaline phosphatase, and total and direct bilirubin. Amylase and lipase are within normal limits. CT of the abdomen and pelvis shows a dilated common bile duct and no other abnormalities. Which of the following is the most likely diagnosis?  

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