Hepatopancreobiliary

Question 1

What is Murphy’s sign?

Answer 1

Arrest of inspiration upon palpation of the RUQ

Inspiration causes the gallbladder to press against the examiner’s hand → pain in cholecystitis

Question 2

What is the most common causative agent of a pyogenic liver abscess?

Answer 2

E. coli

(usually polymicrobial)

Question 3

What is the classic triad of pyogenic liver abscesses?

Answer 3

1. Fever
2. Malaise
3. RUQ pain

Question 4

What is Courvoisier sign?

Answer 4

States that in a patient with painless jaundice and an enlarged gallbladder, the cause is unlikely to be gallstones and therefore presumes the cause to be an obstructing pancreatic or biliary neoplasm until proven otherwise