• Register
Prepare for your medical exam, USMLE, MCCEE with a FREE MCQs and clinical cases! ECG, CXR and all types of free medical MCQs with answers, good luck! Medical MCQs from students to students.
Sidebar

A 49-year-old man presents to the emergency department complaining of yellow skin

2.0K views
asked Mar 24, 2017 in Medicine by Rajesh Bahara
A 49-year-old man presents to the emergency department complaining that “my skin has turned yellow.” Physical examination reveals the man is significantly jaundiced. He has no abdominal pain and has a negative Murphy’s sign. The physician is concerned that he can feel the patient’s gallbladder and orders a CT scan. What is the most likely cause of this patient’s jaundice?

(A) Acute hepatitis
(B) Choledocholithiasis
(C) Cholelithiasis
(D) Hemolytic anemia
(E) Pancreatic cancer

2 Answers

0 votes
 
Best answer
The correct answer is (E) Pancreatic cancer
This patient’s physical exam demonstrates Courvoisier’s sign: jaundice and a palpable, enlarged, nontender gall-bladder. This sign is often found in patients with cancer in the head of the pancreas, which is obstructing the gallbladder from emptying.
answered Mar 24, 2017 by Rajesh Bahara
0 votes
E. pancreatic cancer
answered Jun 25, 2017 by anonymous

...