All of the following are seen with bile duct stone except: March 2008: (A) Obstructive jaundice, (B) Distended and palpable gall bladder, (C) Pruritis, (D) Clay coloured stools
Answer is B. Ans. B: Distended and palpable gall bladder Jaundice occurs when the CBD becomes obstructed and conjugated bilirubin enters the bloodstream. A history of clay-colored stools and tea-colored urine is obtained from such patients in approximately 50% of cases. The jaundice can be episodic. Palpable gallbladder (Courvoisier sign) may indicate gall bladder malignancy.