Biliary Tract Diseases
Activity
Round Table Discussion
Round Table Discussion
Curriculum Block
Clerkship / Surgery Rotation
- Indicates most relevant
Objectives
Clerkship Objectives
- Pertinent medical history: prior surgery or illness, associated conditions (pregnancy, menstrual cycle, diabetes, atrial fibrillation or cardiovascular disease, immunosuppression). Medications: anticoagulation, steroids etc. (for abdominal pain).
- Explain the rationale for using these diagnostic tests in the evaluation of a patient with jaundice: Liver function tests, including hepatitis profile, peripheral blood smear, Coombs tests, etc. Hepatobiliary imaging procedures (ultrasound, CT scan, ERCP, PTHC, HIDA).
- Discuss important physical exam findings: hepatomegaly; palpable mass; Courvoisier's sign; Murphy's sign; scleral icterus; abdominal tenderness; lymphadenopathy; Charcot's triad; Reynold's pentad.
- Discuss importance of the patient's history: estimated duration of illness, associated symptoms (pain and its characteristics), and risk factors.
- Discuss, prehepatic, intrahepatic (both non-obstructive) and posthepatic (obstructive) etiologies (for jaundice).
- Describe the differential diagnosis of a patient with jaundice.
- Hepatomegaly/Splenomegaly
- Carcinoma of the Pancreas
- Pancreatic Pseudocyst
- Pancreatitis
- Colangitis
- Choledocolithiasis
- Biliary Colic
- Cholecystitis
- Gallstones.
- Describe the causes of hepatomegaly.
- Associated signs and symptoms of abdominal pain (nausea vomiting, fever, chills, anorexia, wt. loss, cough, dysphagia, dysuria/frequency, altered bowel function diarrhea, constipation, obstipation, hematochezia, melena, etc.).
- Alleviating and exacerbating factors of abdominal pain (position, food, activity, medications).
- Temporal sequence of abdominal pain (onset, frequency, duration, progression).
- Characterization of abdominal pain (location, severity, character, pattern).
- Know the major complications of pancreatic necrosis and pseudocyst formation?
- Which patients with a pancreatic cyst need surgery and when?
- How do you differentiate a pancreatic pseudocyst from a cystadenoma or true cyst?
- Discuss the management of cystic lesions of the pancreas.
- Describe the differential diagnosis of a pancreatic mass.
- Discuss the short and long term complications associated with surgical removal of the spleen.
- Discuss the most common signs and symptoms associated with hypersplenism.
- Describe the causes of splenomegaly.
- Discuss the most frequently encountered malignant hepatic tumors and their management.
- Discuss the most frequently encountered benign hepatic tumors and their management.
Tags
Curriculum Block
Clerkship
Surgery Rotation
Discipline
Surgery
MCC Presentations
Abdominal masses and pelvic masses
Acute Abdominal Pain
Chronic Abdominal Pain
Chronic Diarrhea
Jaundice
Vomiting and/or Nausea
McMaster Program Competencies
2.2 Apply biomedical scientific principles fundamental to health care for patients and populations.
4.2 Participate in the education of patients, families, students, trainees, peers and other health professionals
MeSH
Biliary Tract Diseases [C06.130]
Biliary Tract [A03.159]
Cholangitis [C06.130.120.200]
Cholecystitis [C06.130.564.263]
Gallstones [C06.130.409.633]
Pancreatitis [C06.689.750]
