17th July 2020

A 60-year-old woman with a history of gallstones presents to the emergency department with a 3 day history of right upper quadrant pain

A 60-year-old woman with a history of gallstones presents to the emergency department with a 3 day history of right upper quadrant pain. She is visibly jaundiced and upon questioning admits to ‘feeling cold and shivering’ in the last 24 hours. On examination her temperature is 38.5°C, respiratory rate 19, O₂ sats 98% on air, BP 115/90, HR 108, and is alert. 

Please select the SINGLE most likely diagnosis. Select ONE option from the list above.