06-13-2008, 03:43 PM
A 63-year-old woman comes to the emergency department because of nausea, vomiting, shaking chills, fever, and abdominal pain of 4 hours™ duration. Physical examination reveals a temperature of 39.2 °C (102.5 °F), scleral icterus, and epigastric tenderness.
Ultrasonography of the abdomen reveals gallstones and dilatation of the common bile duct. The liver and pancreas appear to be normal.
Which of the following is the most likely diagnosis?
( A ) Viral hepatitis
( B ) Ascending cholangitis
( C ) Hepatic abscess
( D ) Gallstone ilieus
( E ) Pancreatic pseudocyst
Ultrasonography of the abdomen reveals gallstones and dilatation of the common bile duct. The liver and pancreas appear to be normal.
Which of the following is the most likely diagnosis?
( A ) Viral hepatitis
( B ) Ascending cholangitis
( C ) Hepatic abscess
( D ) Gallstone ilieus
( E ) Pancreatic pseudocyst