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Tuesday, 21 May 2013

Differential Diagnosis of Obstructive Jaundice

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.

8 comments:

  1. thanks a lot,info is very useful.

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  2. Can jaundice be seen in your mouth? Once I applied extremely high dental plymerizers price implants I noticed a yellowed gingiva. I was not sure if I can apply them so I refused and send to GP. However, I am still not sure what was that

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  3. Don’t think of anything else just contact Dr Abalaka and purchase some of his herbal medication and your depression will go away. This was my state of mind when my doctor told me that i will not be able to conceive due to the Fibroid that was rolling in my family life and when i decide to reach out to the priest, and the Priest told me what to do in other to get the medication. Eventually I receive all the Herbal medications that cure my Fibroid and give me the chance to become a proud mother: Dr Abalaka is a great spiritualist, He did it for me, you can contact Dr on (dr.abalaka@outlook.com). If you are suffering from the following gynecology disease::
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  4. 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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  5. Hello women there. I am Kyle and I am here to help women who are in the same situation as me a few years ago. I was declared sterile about 8 years after my marriage, it was an experience that I imagined then never giving birth to a child, it was almost costing me my marriage until the day I opened to a colleague at my workplace and she told me about a priest from Dr. Osagie who helped some people who, to my knowledge, had the same problem, I did not hesitate and I contacted the doctor as soon as I back home. We talked and he told me about the herbs to take. for my kind of situation, then I ordered for it ASAP ... I have three wonderful children, all thanks to Dr. Osagie, budding priest Let's take for ourselves and give us what we really deserve as women. Contact Dr. Osagie on his email Drosagie99@gmail.com, you can also call or contact him via Whatsapp +2349070977669 Thanks ...
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  6. Who would have believed herbal medicine could cure FIBROID? I suffered fibroid for a long time and getting pregnant was a problem, I had pelvic pain, heavy menstrual bleeding even hospital could not help. Until I read about doctor Uduehi online, I contacted him for help and behold I was cured. I have gone for test severally at the hospital and was proved negative which means I am free from fibroid and I am also pregnant at the moment. You too can be cured if having such problem. His contact: uduehiherbalcare@gmail.com phone/WhatsaPP: +2347084878384

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