2 Days Of Worsening in Medicine / Internal Medicine — 42yo Woman | Gastroenterology | SMLE Q#17676
SMLE Question #17676
Medicine / Internal Medicine
Gastroenterology
Objective: OBJ-CHOLEDOCH-IMG-01
Last updated: February 2026
A 42-year-old woman presents to the emergency department with 2 days of worsening right upper quadrant pain after several months of recurrent postprandial episodes. She reports dark urine and generalized pruritus. Examination shows scleral icterus and right upper quadrant tenderness without guarding; she is afebrile. Laboratory tests show conjugated hyperbilirubinaemia with a cholestatic pattern. What is the most appropriate diagnostic imaging to evaluate the biliary tree?
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