A 47-year-old obese female arrives at the ED with a chief complaint of abdominal pain. She says the pain is in her RUQ and starte hours ago. She thought it was just another gallstone attack, but that pain usually goes away after a few hours. On physical exam tenderness in the RUQ is noted, along with mild jaundice of the skin and a negative Murphy’s sign. There is no evidence of fever i the patient; heart rate and blood pressure are normal. Ultrasound Report: Stone causing 90% occlusion in the middle of the common bile duct. Common bile duct is dilated above the stone and the pancreatic duct is unobstructed. Which of the following is the best diagnosis?
[Verified Answer]: A 47-year-old obese female arrives at the…
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