8 Hours Of Severe in Medicine / Internal Medicine — 52yo Woman | Gastroenterology | SMLE Q#753
SMLE Question #753
Medicine / Internal Medicine
Gastroenterology
Last updated: February 2026
A 52-year-old woman with known gallstones presents with 8 hours of severe constant epigastric pain radiating to the back with repeated vomiting. She reports prior brief postprandial right upper quadrant pain. Examination shows epigastric tenderness. Ultrasound shows multiple gallstones; evaluation of the common bile duct is pending. What is the most appropriate initial management step?
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