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Case 51: Jaundice

A 72 year old man presents with progressive jaundice over 2 weeks. This is associated with dull right upper quadrant pain. His liver function tests are shown below.

1. What are the clinical features of obstructive jaundice?

2. What is Courvoisier's law and the pathologic basis for it?

3. What are the differential diagnoses for obstructive jaundice?

4. What imaging may help determine the diagnosis?