Signs and triads

Question 1

What is Courvoisier sign?

Answer 1

Painless jaundice and palpable gall bladder

Question 2

What is the most likely cause of a positive Courvoisier sign?

Answer 2

(painless jaundice and palpable gall bladder)
Pancreatic cancer (or cholangiocarcinoma)
Most occur at head of pancreas

Question 3

What is Charcot’s triad?

Answer 3

Jaundice
Fever
RUQ pain

Question 4

What is condition is Charcot’s triad seen in?

Answer 4

Ascending Cholangitis

Question 5

What condition causes RUQ pain (no fever or jaundice)?

Answer 5

Biliary colic

Question 6

What condition causes Fever and RUQ pain (no jaundice)?

Answer 6

Cholecystitis

Question 7

What is Reynold’s pentad?

Answer 7

Fever
RUQ pain
Jaundice
Confusion/ altered mental state
Hypotension

Question 8

What condition is Reynold’s pentad seen in?

Answer 8

Ascending cholangitis

Question 9

What is Murphy’s sign?

Answer 9

RUQ tenderness
Ask patient to take breath in while pressing RUQ, will see them since/stop inspiring normally

Question 10

What does Murphy’s sing used to diagnose?

Answer 10

Cholecystitis