Clerkship

• Gallstones
• Cholecystitis
• Biliary Colic
• Choledocolithiasis
• Colangitis
• Pancreatitis
• Pancreatic Pseudocyst
• Carcinoma of the Pancreas
• Hepatomegaly/Splenomegaly

JAUNDICE

1. Describe the differential diagnosis of a patient with jaundice.
2. Discuss, prehepatic, intrahepatic (both non-obstructive) and posthepatic (obstructive) etiologies.
3. Discuss importance of the patient's history: estimated duration of illness, associated symptoms (pain and its characteristics), and risk factors.
4. Discuss important physical exam findings:
   • hepatomegaly
   • palpable mass
   • Courvoisier's sign
   • Murphy's sign
   • scleral icterus
   • abdominal tenderness
   • lymphadenopathy
   • Charcot's triad
   • Reynold's pentad
5. Explain the rationale for using these diagnostic tests in the evaluation of a patient with jaundice: Liver function tests, including hepatitis profile, peripheral blood smear, Coombs tests, etc. Hepatobiliary imaging procedures (ultrasound, CT scan, ERCP, PTHC, HIDA.