Question

A 30 yo woman in the ED with RUQ pain, N/V and temp of 102.

An U/S study reveals gallstones and a thickened , edematous gallbladder wall. Blood work shows WBC count of 19,000 and an elevated alk phos

what is the dx
next step?

Answer 1

The next step in the diagnosis of the patient should be to perform blood cultures and start broad-spectrum antibiotics due to the presentation of elevated temperature, white blood cell count, RUQ pain, and N/V. The patient's symptoms, as well as the ultrasound findings of gallstones and a thickened, edematous gallbladder wall, suggest acute cholecystitis, which is inflammation of the gallbladder. The elevated alkaline phosphatase is consistent with inflammation in the biliary system.

Step-by-step explanation:

The next step in the diagnosis of the patient should be to perform blood cultures and start broad-spectrum antibiotics due to the presentation of elevated temperature, white blood cell count, RUQ pain, and N/V. The patient's symptoms, as well as the ultrasound findings of gallstones and a thickened, edematous gallbladder wall, suggest acute cholecystitis, which is inflammation of the gallbladder. The elevated alkaline phosphatase is consistent with inflammation in the biliary system.