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Exam questionKROK 2Medicine ยท 2008

A 75-year-old man who has been suffering from diabetes for the last six months was found to be jaundiced. He was asymptomatic except for weight loss at the rate of 10 pounds in 6 months. Physical examination revealed a hard, globular, right upper quadrant mass that moves during respiration. A CT scan shows enlargement of the head of the pancreas, with no filling defects in the liver. The most likely diagnosis is:

Answer options

  1. Infectious hepatitis
  2. Metastatic disease of liver
  3. Haemolytic jaundice
  4. Malignant biliary stricture
  5. Carcinoma of the head of the pancreas
Correct answer

Carcinoma of the head of the pancreas

Explanation

A 75 year old man who has been suffering from diabetes for the last six months was found to be jaundiced. He was asymptomatic except for weight loss at the rate of 10 pounds in 6 months. Physical examination revealed a hard, globular, right upper quadrant mass that moves during respiration. A CT scan shows enlargement of the head of the pancreas, with no filling defects in the liver. The most likely diagnosis is:The Elderly is a risk factor. weight is an alarm sign for cancer. On examination, hard, globular mass moves during respiration. CT scan shows an enlargement of the head of the pancreas that indicates cancer.

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