Dilated CBD, pancreatic carcinoma

Images and text Kezia Mansfield and Olga Gaitsgory An 84 year old woman presents to the  emergency department with a week of nausea, anorexia and general malaise, without abdominal pain. She has a past history insulin dependent diabetes, GORD and osteoarthritis. It was noted on examination that she was moderately jaundiced, with a non tender abdomen. Read more about Dilated CBD, pancreatic carcinoma[…]

Biliary Obstruction: Double Barrel sign, Monkey Puzzle sign

Images and text Genevieve Carbonatto A 73 year old man presents to your department jaundiced. He says he has not been feeling unwell but that over  the past 4 days  the white of his eyes have turned yellow as well as the skin of his face. His urine turned very yellow 4 days ago  and Read more about Biliary Obstruction: Double Barrel sign, Monkey Puzzle sign[…]