A 60-year-old woman, mother of 6 children, developed a sudden onset of upper abdominal pain radiating to the back, accompanied by nausea, vomiting, fever and chills. Subsequently, she noticed yellow discoloration of her sclera and skin. On physical examination the patient was found to be febrile with temp. of 38,9°C, along with right upper quadrant tenderness. The most likely diagnosis is:

Answer options

1. Choledochal cyst
2. Benign biliary stricture
3. Choledocholithiasis
4. Malignant biliary stricture
5. Carcinoma of the head of the pancreas

Explanation

A 60-year-old woman, mother of 6 children, developed a sudden onset of upper abdominal pain radiating to the back, accompanied by nausea, vomiting, fever and chills. Subsequently, she noticed yellow discoloration of her sclera and skin. On physical examination the patient was found to be febrile with temp. of 38,9°C, along with right upper quadrant tenderness. The most likely diagnosis is: 5F is to risk factors for the development of cholelithiasis in an event of upper abdominal pain:Fair: more prevalent in the Caucasian population(fair) Fat: BMI > 30 Female gender Fertile: one or more children Forty: age ? 40