Instructions
You are an intern on a surgical ward. Glenda Sutcliffe, 61, was admitted with four days of jaundice. Her MRCP has been reported. The gastroenterologist plans an ERCP tomorrow.
Explain the MRCP result to Mrs Sutcliffe and obtain her consent for ERCP
- You do not need to take a history or examine the patient
Bloods
Bilirubin 86; ALP 410; GGT 520; ALT 140; lipase normal; WCC 8.4; INR 1.1.
MRCP
8 mm distal CBD stone; duct 11 mm. Multiple gallstones. Pancreas normal.