Choledocholithiasis and cholangitis 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 44-year-old woman presents to the emergency department with abdominal pain. The abdominal pain started two days ago, and the patient woke up this morning with chills and uncontrollable shaking. Past medical history is unremarkable. Temperature is 38.6 ºC (101.5 ºF), pulse is 120/min, blood pressure is 78/45 mmHg, respirations are 20/min, and SpO2 is 99% on room air. Physical examination reveals an ill-appearing patient. There is moderate right upper quadrant tenderness to palpation. Abdominal ultrasound shows a common bile duct measuring 10 mm and a stone within the duct. Gastroenterology is consulted and ERCP (endoscopic retrograde cholangiopancreatography) is scheduled. The patient is given 3500 mL of IV normal saline and a dose of IV piperacillin-tazobactam. Repeat blood pressure after fluids are administered is 85/49 mmHg. Which of the following is the most appropriate next step in management?  

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