Case List History Objectives Radiology Images Questions BILIARY TRACT Case #2 - A 40 year old woman with epigastric pain and fever DISCUSSION QUESTIONS: 5.) What is the appropriate diagnostic evaluation? Diagnostic evaluation: Test of choice: abdominal ultrasound - presence of stones, thickened gallbladder wall, pericholecystic fluid, status of bile ducts. HIDA radionuclide scan: nonvisualization of gallbladder CT scan: thickened wall, pericholecystic fluid, air in gallbladder wall Other tests: amylase, bilirubin, liver enzymes, WBC, chest Xray, EKG
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