new-onset yellow discolouration of her skin.
“Well, I went to my GP because I’ve noticed that over the last week or two that my skin is getting more and more yellow. I didn’t think it was too bad, but my husband said that I was very yellow especially the whites of my eyes. I’m also getting a lot of abdominal pain, which has been getting much worse!”
WHAT QUESTIONS MIGHT BE USEFUL TO ELICIT FURTHER DETAILS SURROUNDING THE PRESENTING COMPLAINT?
WHAT OTHER PARTS OF THE HISTORY WOULD BE IMPORTANT TO COVER? WHAT DRUGS MIGHT CAUSE JAUNDICE?
WHAT SIGNS WOULD YOU LOOK FOR ON EXAMINATION? WHAT IS MURPHY’S SIGN? HOW DO YOU ELICIT IT ON EXAMINATION?
WHAT IS COURVOISIER’S LAW? WHY IS IT SIGNIFICANT? WHAT ARE CULLEN’S AND GREY TURNER’S SIGNS? WHAT DO THEY INDICATE? WHAT IS MIRIZZI’S SYNDROME?
WHAT IS GALLSTONE ILEUS?
WHAT IS YOUR DIFFERENTIAL DIAGNOSIS?