Answer :
Final answer:
Based on the symptoms and the ultrasound showing a distended gallbladder, the patient is likely suffering from acute cholecystitis. The standard treatment for this is a laparoscopic cholecystectomy (option D), a minimally invasive surgical procedure to remove the gallbladder.
Explanation:
The patient's symptoms and ultrasound findings point to a gallbladder issue, most likely acute cholecystitis, which is an inflammation of the gallbladder. As the case describes, the patient is experiencing right upper quadrant pain, nausea, vomiting, and fever - all of which are typical symptoms of cholecystitis. The ultrasound, showing a distended gallbladder, strengthens this suspicion.
Laparoscopic cholecystectomy, which is the surgical removal of the gallbladder using minimally invasive techniques, is the standard treatment for this condition. Therefore, the answer is D. Laparoscopic cholecystectomy. It's important to note that this surgical management typically occurs after a short period of stabilization, including pain management and control of the inflammatory reaction.
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