16th July 2020

A 43-year-old male presents with a 24 hour history of right upper quadrant (RUQ) pain

A 43-year-old male presents with a 24 hour history of right upper quadrant (RUQ) pain, a fever and said that he had ‘the shakes’ that morning. On examination he had a racing pulse, temperature of 39.5⁰C, yellow sclera and tenderness in the RUQ region. He recently had an ERCP to remove gallstones, but is otherwise fit and well and takes no regular medications.

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