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Surgery
A 40-year-old man underwent laparoscopic cholecystectomy 2 years earlier. He remains asymptomatic until 1 week before admission, when he complains of RUQ pain and jaundice. He develops a fever and has several rigor attacks on the day of admission. An ultrasound confirms the presence of gallstones in the distal CBD. The patient is given antibiotics. Which of the following should be undertaken as the next step in therapy?
Should be discharged home under observation
Should be observed in the hospital
Undergo surgical exploration of the CBD
ERCP with sphincterotomy and stone removal
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