ABSTRACT

For each of the following presentations, select the most appropriate management. Each option may be used once, more than once or not at all.

1. A 47-year-old woman is seen is the emergency department with a 5-day history of upper abdominal pain, nausea and worsening jaundice. She has experienced bouts of similar pains before, but has never previously had jaundice. On examination, she is apyrexial and there is mild ten-

abdominal ultrasound confirms the presence of a large gallstone in the common bile duct.