BMJ 2012; 344 doi: https://doi.org/10.1136/bmj.e3044 (Published 02 May 2012) Cite this as: BMJ 2012;344:e3044
  1. David Howell, foundation year 1 ,
  2. Rory McCulloch, core medical trainee year 2,
  3. Hemant Gupta, consultant gastroenterologist
  1. 1Lincoln County Hospital, Lincoln LN2 5QY, UK
  1. dhowell1{at}nhs.net

A 65 year old woman presented with a two week history of painless jaundice, steatorrhoea, and weight loss. On examination, we found tender …

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