A PLEA FOR DIAGNOSIS IN SURGERY

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Inflammation of the gallbladder-it is the same as with appendicitis, though it may be higher, but they may be so close together you cant tell them apart until you get in there and look. We have seen that, and, of course, in gallbladder obstruction and obstruction of the bile ducts, you add jaundice to the other picture.

Remember also that increasing painless jaundice is likely to be cancer of the head of the pancreas or obstructing the bile duct at the ampulla of Vater.

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