Obs Jau
Obs Jau
Obs Jau
JAUNDICE
-Dr. Ravi Kr. Gupta
-2nd yr resident MS Surgery.
JAUNDICE:
1. Gallstones.
2. Parasites.
4. Hemobilia.
5. Benign stricture.
6. Malignant stricture.
• In the wall:
1. Congenital atresia.
2. Traumatic Strictures.
3. Choledochal cyst.
4. Caroli’s disease.
6. Klatskin’s tumor.
7. Sclerosing Cholangitis.
• Outside the wall:
2. Periampullary stricture.
4. Pancreatitis.
6. Pseudocyst of pancreas.
7. Metastatic carcinoma
POINTS IN FAVOUR OF
OBSTRUCTIVE JAUNDICE:
• Loss of weight.
COURVOISIER’S LAW:
• CECT abdomen.
• MRCP.
• Endoscopic US.
• Biopsy.
• surgery
MANAGEMENT:
• Hydration.
• Nutrition.
• Correction of anemia.
• Sepsis.
• Hepatorenal failure.
• Severe Malnutrition.
FEVER IN JAUNDICE:
1. Cholangitis.
2. Septicemia.
3. Hemolysis.
4. Hepatic Abscess
SPECIAL RISKS IN OBSTRUCTIVE
JAUNDICE:
• Hypocoagulability.
• Renal failure.
• Managed as emergency.
oPain.
oFever.
oJaundice.
oMental confusion.
oShock.
Management:
• Emergency.