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A 49 year old patient presents with right hypochondriac pain. Investigation show a big gallstone. What is the most appropriate management?

waelhammad
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2022-11-04
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A 49 year old patient presents with right hypochondriac pain. Investigation show a big gallstone. What is the most appropriate management?

  1. Lap Cholecystectomy
  2. Reassure
  3. Low fat diet
  4. Ursodeoxycholic acid
  5. Emergency laparotomy
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waelhammad
2022-11-04
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The key is A. Lap Cholecystectomy. [As symptomatic only reassurence is not appropriate ii) as big stone ursodyoxycholic acid is less effective iii) less invasiv is preferred so laparoscopic rather than laparotomy].

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