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Clerkship - Hepatobiliary

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


  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.

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