Close
26th April 2024
A 68-year-old man presents with a 2-day history of severe right upper quadrant abdominal pain, fever of 38.5°C, and jaundice.
A 68-year-old man presents with a 2-day history of severe right upper quadrant abdominal pain, fever of 38.5°C, and jaundice. He reports the pain as constant and radiating to his back. He has a history of gallstones. On examination, he is jaundiced, febrile, and has marked tenderness in the right upper quadrant. His blood pressure is 100/60 mmHg, and heart rate is 102 bpm.
Investigations:
Serum bilirubin: Elevated
Alkaline phosphatase: Elevated
White blood cell count: Elevated
Blood cultures: Pending
Which is the most likely diagnosis?
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.
