Clinical Reasoning Quiz

A 45-year-old man presents with painless jaundice, dark urine, pale stools, and weight loss. On exam, his gallbladder is palpable but non-tender.

What is the most likely diagnosis?
A) Acute cholecystitis
B) Chronic hepatitis
C) Pancreatic head carcinoma
D) Gilbert’s syndrome

Hint: Courvoisier’s sign is positive.

Pancreatic head carcinoma