A patient with pancreatic malignancy presents with lethargy, yellow urine and pruritus. The probable location of the tumor is:: (A) Head of the pancreas, (B) Body of the pancreas, (C) Tail of the pancreas, (D) Pancreatic malignancy with liver metastasis
Answer is A. Obstructive jaundice is a frequent feature when the cancer is located in the head of pancreas. The symptoms are abdominal discomfo, pruritus, lethargy, and weight loss. Physical signs: Jaundice and cachexia, and scratch marks. 25% have a palpable gall bladder (Courvoisier's sign). Ref: Harrison, Edition -18, Page-789