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, constant abdominal pain that started this morning and subjective fevers. The patient states that for the past few days he has experienced intense abdominal pain after meals that is associated with nausea and vomiting. Temperature is 38.5 ºC (101.3 ºF), pulse is 122/min, blood pressure is 100/89 mmHg, respirations are 10/min, and SpO2 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, and no rebound, rigidity, or guarding. Serum white blood cell count is elevated. Liver chemistries show elevations in AST, ALT, alkaline phosphatase, 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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