Obstructive jaundice. I C Cameron. Acute on call. Deranged LFTs, esp Alk Ph and GGT Conjugated Bilirubin high Take a good history Onset, drugs, pain, previous attacks, alcohol, gallstones, pale stools, dark urine, wt loss Look for signs of liver failure USS - gallstones?
I C Cameron
- dilated CBD +/- dilated IH ducts
- dilated CBD 14mm, poor views