Question 317 · LEK · Pancreatic cancer
A 75-year-old patient has reported to a surgical clinic. He noticed skin yellowing and weight body loss but otherwise he has no complaints. He underwent a laparoscopic cholecystectomy 10 years earlier. The proper approach in this case will be:
- A. to diagnose Gilbert syndrome and calm the patient.
- B. to diagnose damage to the bile ducts and refer the patient to an Emergency Surgical Department.
- C. to diagnosed advanced liver cirrhosis and refer the patient for further liver treatment.
- D. to suspect a tumor in the head of pancreas and order abdominal imaging tests.
- E. to diagnose hemolytic jaundice and refer the patient to a hematology clinic.
Hint
Painless jaundice with weight loss in an elderly patient is a red flag for malignancy in the periampullary region.
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