is it B) Cholangitis ?

 

noo because he dont have triod(RUO pain and chills & joindice )

 

Cholecystitis i think

 

B cholangitis

 

A. Cholecystitis

 

I wanna say E. choledocholithiasis but I don't know...

 

E) Stones moved from patients history to patients common bile duct...

 

DDDD
Painless jaundice should rise the Dx of pancreatic cancer. especially head pancreatic cancer.

 

I think E too..!! but with fever... maybe A.. ascending cholangitis..!!

 

I think it is cholangitis .
Just read in FA .
Charcot`s triad for Cholngitis. Jaundice+Fever+RUQ Pain

 

It says new onset obstructive jaundice...so i think she has history of cholocystitis and a surgery...soE. Choledocholithiasis..a stone that was missed in the surgery caused the new problem

the thing that confuses me is the fever that makes b likely too//

 

The correct answer is B.
Obstructive jaundice from gallstones with new onset fever is cholangitis.

 

Obstruction of common duct by gallstones can be present without pain in case of diabetic patient but it is not mentioned here..

 

the patient doesn't have abdominal pain, so how come he has cholangitis

we should always think about pancreatic head cancer when facing painless jaundice,
the only thing that doen't match is the fever....maybe this is reason why we should pick up cholangitis in this case :happy:

 

I think it is A.
Cholecystitis as it is acute, obstructive with fever.

 

Guys,

You can clear out your concepts by reading these two threads:

• http://www.usmle-forums.com/usmle-step-1-buzzwords/1119-charcot-triads.html
• http://www.usmle-forums.com/usmle-s...usmle-step-2-ck-bits-pieces/2584-courvoisier-law-pain-jaundice-combination.html

 

C.) cholethithiasis

 

check this out

click image to enlarge

 

A. Cholecystitis i think , with jaundice and fever, but in this case without pain, it make me confused...
but... the near answear is A. Cholecystitis