Snapshot A 45-year-old obese woman presents to the emergency room with right upper quadrant pain for the past 5 hours. She reports that for the past few years, she has had increasing transient right upper quadrant pain especially after meals. Physical exam reveals tenderness to palpation in the right upper quadrant and negative Murphy sign. Laboratory results show increased alkaline phosphatase and total bilirubin. A right upper quadrant ultrasound shows a dilated common bile duct, suggestive of choledocholithiasis. She is admitted and scheduled for an MRCP. Introduction Clinical definition login to view 1 more bullet Associated conditions login to view 2 more bullets Epidemiology Demographics login to view 2 more bullets Risk factors login to view 4 more bullets ETIOLOGY Pathogenesis login to view 1 more bullet Presentation Symptoms login to view 5 more bullets Physical exam login to view 2 more bullets imaging Right upper quadrant ultrasound login to view 4 more bullets Magnetic resonance cholangiopancreatography (MRCP) login to view 7 more bullets Endoscopic ultrasound (EUS) login to view 3 more bullets Endoscopic retrograde cholangiopancreatography (ERCP) login to view 3 more bullets Studies Diagnostic approach login to view 14 more bullets Diagnostic testing login to view 6 more bullets Differential Primary sclerosing cholangitis login to view 4 more bullets Choledochal cyst login to view 4 more bullets DIAGNOSIS Diagnostic criteria login to view 3 more bullets Treatment Management approach login to view 1 more bullet First-line login to view 13 more bullets Other treatments login to view 3 more bullets Complications Gallstone ileus Gallstone pancreatitis Hepatic abscess