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 95-year-old man presents to the emergency department with abdominal pain. The patient has coronary artery disease with a drug-eluting stent placed two months ago, heart failure with EF of 10%, stage IV COPD requiring home oxygen, and severe pulmonary hypertension. Temperature is 39.6 ºC (103.3 ºF), pulse is 106/min, blood pressure is 78/48 mmHg, respirations are 20/min, and oxygen saturation is 94% on 4 liters of oxygen via nasal cannula. On examination, the patient is ill-appearing. There is moderate right upper quadrant tenderness to palpation but no rebound, rigidity, or guarding. Serum white blood cell count is elevated. Abdominal ultrasound shows a common bile duct measuring 13 mm with the presence of a stone. Intravenous fluids and piperacillin-tazobactam are started. The patient undergoes endoscopic retrograde cholangiopancreatography (ERCP) but the biliary tree cannot be cannulated and the procedure is stopped. Which of the following is the most appropriate treatment for the patient?
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