Which of the following is not associated with choledocholithiasis?: (A) Increased levels of ALP, (B) Dyspepsia, (C) Murphy's sign, (D) Increased risk of pancreatitis
Answer is C. CBD stone (aka choledocholithiasis)- Present in 6 - 12% patients of gall stones C/F of choledocholithiasis: Asymptomatic, dyspepsia Biliary colic Jaundice with or without complications Complications: | risk of infection | risk of pancreatitis | risk of cholangiocarcinoma Murphy's sign/Naunyn's sign: Seen in acute cholecystitis Due to inflammation of the wall of gall bladder When right 9th coastal cailage is pressed, there is sudden catch in inspiration.