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 55-year-old man presents to the emergency department with severe right upper quadrant abdominal pain, nausea, and vomiting. Vital signs show mild tachycardia and physical exam is notable for significant right upper quadrant tenderness to palpation. Right upper quadrant ultrasound shows multiple stones in the gallbladder as well as a stone in the common bile duct, which is dilated. Blood cultures are obtained. The patient is given a dose of intravenous morphine which significantly improves the pain. The patient then leaves the hospital against medical advice to attend to personal matters. The next day the patient returns to the emergency department due to fever. The abdominal pain is mildly improved. Current temperature is 39.2 ºC (102.6 ºF), pulse is 108/min, blood pressure is 95/58 mmHg, respirations are 14/min, and oxygen saturation is 99% on room air. Blood cultures from the prior day are positive for E. coli. Which of the following is the most appropriate management at this time?  

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