Question

A 46-year-old patient after taking fatty foods first developed severe pain in the right hypochondrium with irradiation to the right shoulder and right shoulder blade. The body temperature rose to 37.80 C, there was repeated vomiting. Palpation of the right hypochondrium revealed the bottom of the painful gallbladder, positive symptoms of Ortner, Kera, Shchetkin's symptom - Blumberg negative. On admission, ultrasound was performed - gallbladder 115x63 mm, wall 3 mm, calculi were determined in the lumen of the gallbladder. After the appointment of conservative therapy, the condition improved, the temperature dropped to normal, the pain decreased, a day after admission, the gallbladder was no longer palpable, there was a slight soreness at the point of the gallbladder. With dynamic ultrasound - gallbladder 82x59 mm, wall 3 mm, choledoch 8 mm. However, after the relief of the pain attack, the patient developed icterus of the skin, and the bilirubin indicators began to increase.

1) What is your diagnosis?

2) What should be the diagnostic algorithm and treatment tactics?​

Answer 1

Answer:

CHOLESTROL

Explanation: