A 50 year old man presented to the ER with severe right upper quadrant pain that started few hours ago after feeling unwell for 3 days. On examination his temperature was 39.1, BP 120/75, RR 18, PR 95. Severe tenderness in the right upper quadrant area elicited and an inspiratory catch noted when deep palpation attempted in the same area. Which of the following is adequate management for this patient?
A- Intravenous fluids and observation
B- Intravenous antibiotics and observation
C- Referral to surgical services for next day surgery
D- Immediate surgical referral for urgent surgery
E- Urgent percutanous drainage
A- Intravenous fluids and observation
B- Intravenous antibiotics and observation
C- Referral to surgical services for next day surgery
D- Immediate surgical referral for urgent surgery
E- Urgent percutanous drainage