Differential Diagnosis of Obstructive Jaundice
Possibility 1.
Painless progressive Jaundice with Palpable Gall Bladder- Cause is Carcinoma Head of Pancreas.
Possibility 2.
Painless waxing and waning type of Jaundice with or without Palpable Gall Bladder-Peri Ampullary Carcinoma Pancreas.
Possibility 3.
Intermittent Jaundice and Pain ( Charcot’s Triad) with no palpable Gall Bladder- Obstructive Jaundice due to Cholelithiasis.
Possibility 4.
Jaundice and Pain with Palpable Gall Bladder-Double Impaction of Stone.
( Exception to Courvoisier's law)
Possibility 5.
Painless Progressive Jaundice with No palpable Gall Bladder -Cause is Klatskin’s Tumour.
thanks a lot,info is very useful.
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It is no secret that I have a very deep and personal relationship with God. I have pushed and resisted that relationship this past year through all the bullshit I have had to go through living with Herpes but once again, God is bigger than my stubbornness and broke through that outbreak cold sore and all I had Genital Herpes. For me personally, hearing over and over how I am not good enough has really invaded my mind in the worst way possible. I completely shut down and I was just waking up like is this how life going to end this temporary herpes outbreak “fuck everybody with herpes if you know what I mean” but let's be honest here...
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