QuestionSBA
QuestionChoice
Pancreatic cancer would be the most important diagnosis to exclude in this case. It presents with the classic symptoms of painless jaundice and a palpable gallbladder.
10025085
a
Pancreatic cancer
QuestionChoice
You would expect pancreatitis to present with symptoms like epigastric pain radiating to the back, pain relived by sitting forward and associated symptoms like nausea and vomiting. Bloods may show an extremely high amylase level. This patient does not present with any pain, nausea or vomiting. Therefore, acute pancreatitis is not a likely diagnosis. This patient's symptoms are more likely to be due to pancreatic cancer.
10025087
c
Acute pancreatitis
QuestionChoice
You would expect Gilbert’s syndrome to cause intermitted jaundice in relation to stress, infection or exercise. It would not account for the palpable gallbladder and therefore is not the most likely diagnosis in this case.
10025089
e
Gilbert's syndrome
QuestionChoice
Colorectal cancer would be an important diagnosis to exclude if the patient was over 60 and reported a change in bowel habit. However, this patient's symptoms are more suggestive of pancreatic cancer, so this would be the most important diagnosis to exclude.
10025086
b
Colorectal Cancer
QuestionChoice
Gastric cancer would present with symptoms such as persistent reflux, bloating and weight loss. This patient is more likely to be suffering from pancreatic cancer.
10025088
d
Gastric Cancer
Concept
Chapter
2693
3734
Pancreatic Cancer
Topic
136
Gastroenterology
17415
A 40-year-old male presents to his GP with yellowing of his eyes. The GP conducts a thorough abdominal examination in which he notes a palpable gallbladder. The patient does not complain of any pain.

Which of the following is the most likely diagnosis?
a