Clinical Case Database / Category: Patient Management

ERCP and cholangiocarcinoma

Publication details

LA Possamai, Shahid A Khan
Foundation Years Journal, volume 3, issue 4, p.44 (123Doc Education, London, May 2009)


A 74-year-old Caucasian woman is referred to hospital on the acute medical take by her GP. She reports a 3-week history of vomiting associated with unintentional weight loss of 3–4kg. Four days earlier the patient's daughter had commented on a yellow discolouration to her skin and eyes, which had since become more pronounced. The patient denied abdominal pain. She commented that her appetite had been poor for a few weeks and she was eating very little. She had noticed dark discoloration of her urine 1 week earlier and when directly questioned admitted her stools had been pale in colour and offensive smelling. She had never experienced similar symptoms in the past.

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LA Possamai


Shahid A Khan





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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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