agree at first glance, extra section states otherwise, i feel like now it gives the impression that if there IS cholangitis → don’t do cholecystectomy
@CTE, again, thank you for brining this up. Respectfully, this was not an “erroneous edit”. While I see what your saying, as it was, this card was to vague. As it was, the card could have been answered with any treatment of gallstone pancreatitis. I am happy to reevaluate this edit and appreciate your perspective. This card could have been fixed a few different ways. I went with what I thought was best but we can absolutely go another direction if that is the consensus. In the future, I will try and explain my edits better. I strongly encourage you to suggest edits if you disagree, but kindly give me the benefit of the doubt that I am not suggesting completely erroneous things.
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We can change the card to ask about what the eventual management for underlying cause is. The question has to be more specific.
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Tweak my change and improve. Goal being to include important treatments that need to be thought of and were not included in the original text. Yes, it was in the extra. This card is testing if you know the correct treatment and can not rely on the extra section. If people blast through this card without reading the extra, they could miss a large part of the picture.
@Aaron I didn’t mean erroneous to be accusatory if that is how it came across, should have used better wording; I appreciate the effort you’ve been putting in to update cards. Based off my reading, it seems the distinction we could make would be definitive (?) treatment (preventing recurrence) being cholecystectomy while ERCP is a therapeutic option prior to cholecystectomy in those w/ cholangitis. Delaying a procedure until someone is medically stable seems self-explanatory and appropriate as a note in the extra section
I need to check to see what other cards are out there when I get off from my rotation. Ultimately it would be good to cover ERCP and early elective cholecystectomy on 2 cards. As long as this is not a dupe, I am onboard with everything you said. No hard feelings.