what are the 3 types of jaundice
pre-hepatic (reabsorption of hematomas)
Intrahepatic (genetic dz, hepatitis)
posthepatic
what type of hyperbilirubinemia is seen w/ pre-hepatic jaundice
unconjugated hyperbilirubinemia
with an elevated conjugated bilirubin what will you see?
dark urine
clay colored stools
what is one main cause of an elevated conjugated bilirubin
acute choledochlithiasis
presentation w/ choledoclithiasis
fever
leukocytosis
pain
Murphy’s sign
Tx for choledochlithiasis
ERCP
presentation w/ cholangiocarcinoma
painless jaundice
weight loss w/ clay colored stool
no fever, leukocytosis or Murphy’s sign
what is a sign that is suspicious for pancreatic cancer
migratory thrombophlebitis
best way to evaluate pancreatic cancer
endoscopic US
presentation w/ pancreatic cancer
painless jaundice
weight loss w/ clay colored stool
no fever, leukocytosis or Murphy’s sign
how to dx cholangiocarcinoma
ERCP and biopsy
when to suspect ampullary cancer
FOBT positive
negative colonoscopy
jaundice
how do you dx cancer of ampulla of vater
ERCP and bx