A 64-year-old patient has been referred to planned hospitalization for general weakness, poor appetite, progressive jaundice which appeared over 3 weeks ago and wasn't accompanied by pain syndrome. Objectively: body temperature is at the rate of 36,8°C, Ps-78/min, abdomen is soft and painless, the symptoms of peritoneal irritation are present, palpation reveals a dramatically enlarged, tense gallbladder. What disease are these symptoms typical for?

Answer options

1. Duodenal ulcer
2. Acute cholecystitis
3. Lamblia-induced cholecystitis
4. Chronic cholecystitis
5. Cancer of the pancreatic head

Explanation

A 64-year-old patient has been referred to planned hospitalization for general weakness, poor appetite, progressive jaundice which appeared over 3 weeks ago and wasn't accompanied by pain syndrome. Objectively: body temperature is at the rate of 36,8°C, Ps-78/min, abdomen is soft and painless, the symptoms of peritoneal irritation are present, palpation reveals a dramatically enlarged, tense gallbladder. What disease are these symptoms typical for?Elderly is a risk factor. weight is an alarm sign for cancer. enlarged, tense gallbladder due to bile outflow obstruction by pancreatic head cancer.