Hepatobiliary DDx Flashcards
N&V, myalgia, lethargy, RUQ pain
+/- foreign travel or IVDU
Viral hepatitis
RUQ pain + PMHx congestive heart failure
Congestive hepatomegaly
RUQ pain, attacks occur after eating
“female, forties, fat and fair”
Biliary colic
Severe, persistent RUQ pain, Murphy sign +ve
Acute cholecystitis
Fever +/- rigors, RUQ pain, jaundice
Ascending cholangitis
Biliary colic symptoms, jaundice, weight loss
Palpable mass in RUQ, periumbilical lymphadenopathy, left supraclavicular adenopathy (Virchow node)
Cholangiocarcinoma
Severe epigastric pain + vomiting
Peri-umbilical discolouration and flank discolouration
Acute pancreatitis
Painless jaundice, anorexia and weight loss
Pancreatic cancer
Mild RUQ pain, malaise, anorexia and weight loss
Amoebic liver abscess