Stone in CBD Vs Ca of the head of the pancreas:
Here are the differences between the features in the patients with Jaunce due to stone in the common bile duct (CBD) and carcinoma of the head of the pancreas.
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Traits
|
Stone in CBD
|
Ca of the head of the pancreas
|
History
|
Long history
|
Short history
|
Pattern of jaundice
|
Intermittent fluctuating jaundice
|
Usually progressive jaundice
|
Pain, fever & jaundice (Charcot's triad)
|
present
|
Pain & fever are usually absent
|
Loss of weight, loss of appetite
|
Not significant
|
Significant
|
Cholangitis
|
More common
|
Less common
|
Lump
|
Usually absent
|
Present in a late case
|
Ascites
|
Absent
|
May be present
|
Gall Bladder
|
Usually not palpable
|
Usually palpable
|
In Ultrasound
|
An echogenic structure present
|
No echogenic structure
|
Radio-opaque
structure in X-ray abdomen
|
Radio opaque structure may be present
|
Not present
|
CT scan
|
Not useful
|
Confirm mass
|
Prevalence
|
More in female
|
More in male
|
Age of occurrence
|
Middle & old age
|
Old age
|
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