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Patient presents to the emergency department with right upper quadrant pain over eight hours, nausea, and vomiting. On exam there is a fever of 101.2 degrees F. Ultrasound shows a distended gallbladder. What is the most appropriate management of this patient? A Oral analgesics B Diagnostic peritoneal lavage C Proton pump inhibitors D Laparoscopic cholecystectomy

Answer :

Final answer:

The patient's symptoms and ultrasound results suggest acute cholecystitis. The most fitting treatment is usually a d) laparoscopic cholecystectomy, which is used to remove the gallbladder.

Explanation:

The patient's symptoms of right upper quadrant pain, nausea, vomiting and fever, combined with the ultrasound showing a distended gallbladder, suggest the diagnosis of acute cholecystitis, which is inflammation of the gallbladder. The most appropriate management in such a case would be to perform a d) Laparoscopic cholecystectomy, which is a surgical procedure to remove the gallbladder, option D. Laparoscopic cholecystectomy is typically the standard treatment for gallbladder disease, as it involves less pain and shorter recovery compared to open surgery. The specific surgical procedure type might depend on the severity of the symptoms, the patient's overall health, and the surgeon's judgment.

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