Question 167 · LEK · Acute cholangitis

A 40-year-old male patient has been admitted to the ER department because of severe pain located in the right hypochondrium, accompanied by high fever, chills, and jaundice. The CRP is elevated. The ultrasound imaging shows dilated extrahepatic bile ducts. The primary diagnosis should be:

  1. A. acute pancreatitis.
  2. B. acute cholecystitis.
  3. C. hilar cholangiocarcinoma.
  4. D. acute cholangitis.
  5. E. sepsis.
Hint

Combine right upper quadrant pain, fever with chills and jaundice with the ultrasound finding of dilated extrahepatic bile ducts.

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