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The differential diagnosis of jaundice is extensive, and many diagnostic methods are available. The first task is to determine whether jaundice is obstructive. Often, the history is helpful, and the physical examination can give important information. A symmetrically enlarged liver in an alcoholic usually results from cirrhosis; in a temperate or abstaining elderly person, from [...]

Fistulas form between the gallbladder and the intestine, allowing gallstones to migrate and causing intestinal obstruction. Patients usually present with signs of distal small-bowel obstruction, often with tenderness over the gallbladder. Abdominal x-ray may show the stone and usually shows gas in the biliary tree. The proper surgical procedure is removal of the stones (if [...]