A 48-year-old woman presents with several hours of acute right upper quadrant pain, low grade fever, and nausea and vomiting. Which of the following statement(s) is/are true concerning her diagnosis and management?
A. A mild elevation of her bilirubin (< 3 mg/dl) would strongly suggest a common bile duct stone
B. A positive bile culture can be expected in virtually 100% of patients with this scenario
C. Laparoscopic cholecystectomy is clearly contraindicated
D. Appropriate antibiotic coverage should include coverage for gram-negative aerobes
Answer:D
A 48-year-old woman presents with several hours of acute right upper quadrant pain, low grade fever, and nausea and vomiting. Which of the following statement(s) is/are true concerning her diagnosis and management?
A. A mild elevation of her bilirubin (< 3 mg/dl) would strongly suggest a common bile duct stone B. A positive bile culture can be expected in virtually 100% of patients with this scenario C. Laparoscopic cholecystectomy is clearly contraindicated D. Appropriate antibiotic coverage should include coverage for gram-negative aerobes