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Suspect symptomatic choledocholithiasis:
Symptomatic & uncomplicated choledocholithiasis: ❑ Acute or intermittent RUQ or epigastric pain, >6 hours & associated w/ nausea & vomiting ❑ Elevated bilirubin, alkaline phosphatase and GGT levels | Symptomatic & complicated choledocholithiasis: Features of symptomatic & uncomplicated choledocholithiasis w/ Acute cholangitis: Biliary pancreatitis: ❑ Elevated amylase & lipase | Consider severity assessment & management for acute cholangitis & biliary pancreatitis accordingly | |||||||||||||||||||||||||||||||||||||||||||||||||||