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Question SBA: #33627
SBA: Surgical emergencies
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A 47-year-old woman presents with fevers and severe pain in the right upper quadrant that radiates to her back. She is mildly confused. On examination, she is tender in the right upper quadrant, and Murphy’s sign is negative. Her observations are as follows: temperature is 38°C, HR 114 bpm, BP 88/54 mmHg.
Her blood results are as follows:
CRP: 134 mg/l (< 5 mg/l)
Hb: 11.6 g/dl (11.5-16 g/dl)
WCC: 18.4 x 109/l (4-11 x 109/l)
Neut: 14.0 x 109/l (2.5-7.5 x 109/l)
Bilirubin 108 mmol (3-20)
ALT 94 IU/L (5-40)
ALP: 303 IU/L (20-140)
What is the SINGLE most likely diagnosis?