Thursday, June 12, 2014

I Maked These

A 35 year old G2P2 woman presents with acute-onset RUQ abdominal pain radiating to the back associated with diaphoresis, nausea, and vomiting. In the past, she has sometimes had this sort of pain, but this time it is a lot worse and has not resolved after a few hours. She is afebrile, has epigastric tenderness, and has icteric sclera. Labs show a normal CBC, negative troponin, elevated alkaline phosphatase, elevated bilirubin, elevated GGT, elevated lipase, and elevated amylase. Here is her imaging:


Challenge: What's your diagnosis?

Comic is shown under Fair Use, from theAwkwardYeti.com

1 comment:

Craig Chen said...

I Maked These

This is choledocholithiasis, gallstones within the common bile duct, causing gallstone pancreatitis.

Source: UpToDate.