3 Days Of Epigastric in Surgery — 60yo Man | General Surgery | SMLE Q#16698
SMLE Question #16698
Surgery
General Surgery
Objective: OBJ-TRACH-EMERG-01
Last updated: February 2026
A 60-year-old man presents with 3 days of epigastric and right upper quadrant pain and nausea, and 1 day of fever with rigors. He is jaundiced with right upper quadrant tenderness. Abdominal ultrasound shows multiple small gallstones, mild gallbladder wall thickening, and a common bile duct diameter of 9 mm. What is the most likely diagnosis?
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