Which is the most appropriate initial treatment for Acute cholangitis?
Answer and explanation
Correct answer: D. Intravenous antibiotics with biliary drainage by ERCP
- Step 1: Acute cholangitis is treated with intravenous antibiotics with biliary drainage by ERCP.
Answer
Intravenous antibiotics with biliary drainage by ERCP.
Why not the others: 'Oral ursodeoxycholic acid': it does not relieve obstruction. 'Antibiotics alone without drainage': obstruction must be relieved. 'Emergency cholecystectomy first': drainage of the duct comes first.
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