Tag: Choledocholithiasis

RUQ Pain

Presentation:  46 yo M with 2 day hx of RUQ pain and n/v.  Taking Tylenol for pain.   PE:  VS NL, appears distressed, + TTP in RUQ and epigastrium Workup:  RUQ US:  showing sludge in gall bladder, no stones, no pericholecystic fluid and the wall was not thickened.  However, the common bile duct was dilated to 8mm …

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