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Old 01-25-2013
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Default Hemo Q 4

A 55-year-old woman with a history of alcoholism
and chronic pancreatitis (last exacerbation
2 years ago) presents to her primary care physician
with weight loss, pruritus, anorexia, dark
urine, jaundice, yellow sclerae, and vague abdominal
pain. Which of the following physical
fi ndings would most strongly support her most
likely diagnosis?
(A) Chandelier sign
(B) Courvoisier’s sign
(C) Cullen’s sign
(D) Grey-Turner’s sign
(E) Positive Murphy’s sign
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Old 01-25-2013
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(B) Courvoisier’s sign
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Old 01-25-2013
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(B) Courvoisier’s sign

Quote:
Courvoisier's law (or Courvoisier syndrome, or Courvoisier's sign or Courvoisier-Terrier's sign) states that in the presence of an enlarged gallbladder which is nontender and accompanied with mild jaundice, the cause is unlikely to be gallstones. Usually, the term is used to describe the physical examination finding of the right-upper quadrant of the abdomen. This sign implicated possible malignancy of the gall bladder or pancreas and the swelling is unlikely due to gallstones.
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Old 01-25-2013
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Quote:
Originally Posted by aknz View Post
A 55-year-old woman with a history of alcoholism
and chronic pancreatitis (last exacerbation
2 years ago) presents to her primary care physician
with weight loss, pruritus, anorexia, dark
urine, jaundice, yellow sclerae, and vague abdominal
pain. Which of the following physical
fi ndings would most strongly support her most
likely diagnosis?
(A) Chandelier sign
(B) Courvoisier’s sign
(C) Cullen’s sign
(D) Grey-Turner’s sign
(E) Positive Murphy’s sign
My answer is B) Courvoisier’s sign.
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aknz (01-26-2013)
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Old 01-25-2013
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B. Courvoisier’s sign
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  #6  
Old 01-26-2013
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yes answer is (B) Courvoisier’s sign
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