Close
19th March 2024
You are asked to review a 84 year old male with acute abdominal pain
You are asked to review a 84 year old male with acute abdominal pain. He was admitted five days earlier with an infective exacerbation of his COPD and treated with antibiotics, oral steroids and nebulisers. He describes a severe, gnawing pain in his epigastrium and right upper quadrant which is partially alleviated by sitting forward. On examination, he is extremely tender throughout his upper abdomen and Murphy’s sign is negative.
A blood test shows the following:
| Hb (135-180 g/L) | 132 |
| WBC (4-11*10⁹/L) | 12.4 |
| MCV (80-97fL) | 93 |
| Neutrophils (2-8 x 10⁹/L) | 10.9 |
| Platelets (150-450 x 10⁹/L) | 23 |
| Bilirubin (0-21 μmol/L) | 24 |
| ALT (0-70 U/L) | 78 |
| ALP (30-130 U/L) | 122 |
| AST (0-50 U/L) | 61 |
| Amylase (<125 U/L) | 652 |
A focussed ultrasound scan identifies multiple gallstones inside a thin-walled gallbladder with no bile duct obstruction or dilatation. What is the most likely diagnosis in this instance?
Select the SINGLE most appropriate option from the list below. Select ONE option only.
Complete Guide to Clinical Genetics ST3 Application and Recruitment (2027)
Written by Medibuddy. Last updated: October 2026. Clinical Genetics is
Complete Guide to Clinical Radiology ST3 Application and Recruitment (2027)
Recruitment paused: NHS England is not running Clinical Radiology ST3+ recru
Complete Guide to Paediatric Surgery ST3 Application and Recruitment in United Kingdom (2026)
Written by Medibuddy. Last updated: October 2026. If you’re planning
Take your subscriptions with you
Our mobile app allows you to access your interview and exam question banks wherever you are.
