Which of the following statement(s) is/are correct regarding Courvoisier's law?I. Chronic cholecystitis is generally associated with an enlarged, palpable gallbladderII. In the presence of jaundice, a palpable gallbladder should alert the examiner of the possibility of biliary obstruction secondary to carcinoma of the head of the pancreasIII. Biliary obstruction secondary to gallstones is generally associated with a (non-enlarged) fibrotic gallbladder from coexisting chronic cholecystitisIV. Billary obstruction secondary to carcinoma of the head of the pancreas will generally not result in jaundice
Question
Which of the following statement(s) is/are correct regarding Courvoisier's law?I. Chronic cholecystitis is generally associated with an enlarged, palpable gallbladderII. In the presence of jaundice, a palpable gallbladder should alert the examiner of the possibility of biliary obstruction secondary to carcinoma of the head of the pancreasIII. Biliary obstruction secondary to gallstones is generally associated with a (non-enlarged) fibrotic gallbladder from coexisting chronic cholecystitisIV. Billary obstruction secondary to carcinoma of the head of the pancreas will generally not result in jaundice
Solution
The correct statements regarding Courvoisier's law are:
I. False - Chronic cholecystitis is generally associated with a shrunken, fibrotic gallbladder, not an enlarged, palpable one.
II. True - Courvoisier's law states that in the presence of jaundice, a palpable gallbladder should alert the examiner of the possibility of biliary obstruction secondary to carcinoma of the head of the pancreas.
III. True - Biliary obstruction secondary to gallstones is generally associated with a (non-enlarged) fibrotic gallbladder from coexisting chronic cholecystitis.
IV. False - Biliary obstruction secondary to carcinoma of the head of the pancreas will generally result in jaundice, not the other way around.
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