Question 115 · LEK · Surgery of the bile ducts and gallbladder

A 58-year-old, obese patient called at the family doctor because of abdominal pain, high fever with shivering and a yellowish shade of the eye whites which occurred several hours before her visit. After arriving at the emergency department CNS symptoms occurred in the form of conscious disturbances. The described signs and symptoms indicate:

  1. A. viral meningitis.
  2. B. abdominal abscess.
  3. C. acute cholangitis.
  4. D. aggravation of viral hepatitis.
  5. E. acute coronary syndrome (the inferior wall).
Hint

Match the findings to Charcot's triad and the additional feature that turns it into Reynolds' pentad.

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