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Medical Question of the Day- 13




A 58-year-old woman comes to the emergency room complaining that her skin is turning yellow. The doctor performs a physical examination, which reveals that the woman is suffering from moderate jaundice. There is no abdominal pain and she also has a negative Murphy’s sign. The physician becomes concerned that he is able to feel the patient’s non-tender gallbladder. A CT scan is therefore ordered.

What could be the most likely cause of the woman’s jaundice?

A- Acute hepatitis

B- Gall bladder stones

C- Hemolytic anemia

D- Pancreatic cancer

Answer




The patient is suffering from pancreatic cancer. This is proven during the physical exam, wherein the patient demonstrates Courvoisier’s sign, that is jaundice and a palpable, non-tender, and an enlarged gallbladder. This is a commonly found in patients having cancer of the head of the pancreas, which is blocking the gallbladder from emptying its contents.

The correct answer is D

Peace is the winner of this day’s question. A book is sent to the winner.

Congratulations Peace







49 thoughts on “Medical Question of the Day- 13”

  1. Pancreatic cancer

  2. Thank you Dr Ayman

  3. Thank you Dr Mumbi

  4. It is not the first to reply. As it is mentioned: if there is more than one correct answer, drawing will be done to choose the winner. Good luck Dr Naresh on the next questions.

  5. Sorry Maham, it is the Labor Day weekend. I will post it now. Thank you

  6. Thank you Atik

  7. Thank you Nicolaescu

  8. Thank you Avnindra

  9. had the jaundice been due to stones,chronic inflammation would cause fibrosis of gallbladder leading to a nonpalpable gallbladeer: couvoisiers law…here its palpable and therefore due to periampullary cancer…ca head pancreas

  10. What’s the correct answer? It’s more than 24hrs but no answer ?

  11. D. Pancreatic cancer

  12. Ans: D
    Pancreatic cancer.

  13. Thank you Maham

  14. Thank you Chiemelia

  15. Thank you Abir

  16. Pancreatic cancer

  17. Thanks Sir, Hemolytic anemia should be submitted as my answer

  18. Ans D
    Jaundice with palpable gall bladder is due to carcinoma of head of pancreas

  19. Thank you emma

  20. Thank you Chiemelia Ujunwa. Only one answer will be submitted otherwise, none of them will be considered.

  21. Thank you Elan

  22. Thank you Kavitha

  23. Thank you Subhash

  24. Thank you Peace

  25. Thank you Mahmoud

  26. Hemolytic anemia

  27. Pancreatic cancer

  28. Pancreatic Cancer . Palpable non-tender gall bladder with painless jaundice in an old age individual is a classical presentation of Pancreatic Cancer

  29. Hemolytic anemia

  30. D. Pancreatic cancer

  31. D pancreatic cancer

  32. D- Pancreatic cancer

  33. Thank you Fathia

  34. Thank you Sara

  35. Thank you Nadia

  36. D pancreatic cancer

  37. Pancreatic cancer

  38. Thank you Harun

  39. Thank you Mohamad

  40. Pancreatic cancer: courvousiers sign

  41. D . Because ca leads to slowly dilitation

  42. Thank you mohamed

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