Jaundice

Question 1

What is Obstructive Jaundice?

Answer 1

Jaundice due to the mechanical obstruction of the common bile duct

Question 2

Explain Courvoisier’s Law

Answer 2

If Obstructive jaundice is due to a stone in CBD, the gall bladder is Not palpable. If caused by outside pressure, it is palpable

Question 3

Investigation for diagnosis of Obstructive jaundice

Answer 3

Liver Function Test

Question 4

What’s a secondary investigation for obstructive jaundice, and what’s its use?

Answer 4

Ultrasonography, to detect the dilated biliary tract.

Question 5

In Obstructive jaundice, how do we determine the cause of obstruction??

Answer 5

Via an ERCP

Question 6

What should we do if we find Charcot’s Triad?

Answer 6

Immediate therapeutic ERCP With drainage

Question 7

What is Charcot’s Triad?

Answer 7

Right upper abdominal pain, jaundice, and a fever.

Question 8

Operative treatment for Obstructive Jaundice? (Minimally Invasive)

Answer 8

Endoscopic Sphincterotomy. Followed by laparoscopy in the same sitting

Question 9

We do Laparoscopic Cholecystectomy after the endoscopic therapy, why?

Answer 9

To remove the gallbladder

Question 10

What are some advantages, of laparoscopic cholecystectomy?

Answer 10

Smaller cut, faster recovery, lesser pain.

Question 11

What are the 4 points of entry for a laparoscope

Answer 11

Umbilicus, epigastrium, right hypochondrium, right loin.