This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Bile duct, Subject name: Surgery
[{'content': 'All of the following are true about bilhemia except: \nSelect and explain. \nA. Biliary pressure is more than poal pressure, B. ERCP is diagnostic and therapeutic, C. Death occurs due to embolism of bile in lungs, D. Patient has hyperbilirubinemia with raised enzymes', 'role': 'user'}, {'content': 'Answer: D \nExplanation: BILHEMIA: The bile stas flowing into systemic veins. M.C cause- CBD obstruction (CBD stone) Characteristics: rapidly increasing jaundice, marked hyperbilirubinemia, liver enzymes are normal, septicemia, can be fatal due to massive embolization of bile into lungs. IOC - ERCP (diagnostic & therapeutic) Management - decrease intrabiliary pressure by stenting or sphincterotomy.', 'role': 'assistant'}]