Phys Clinical Cases · gastrointestinal
Gallstone Disease AND Biliary Pathology — DCE Clinical Case
DCE long-case and short-case station for Gallstone Disease AND Biliary Pathology.
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Target exams
Gallstone Disease AND Biliary Pathology — Clinical Case
DCE Long Case
Patient brief
Patient: A middle-aged or older adult with multimorbidity and a presentation centred on Gallstone Disease AND Biliary Pathology. [1]
Presenting complaint: Subacute or acute symptoms referable to Gallstone Disease AND Biliary Pathology, with enough detail to force prioritisation. [1] [2]
Past history: Common cardiometabolic and organ comorbidities that interact with the plan. [2]
Medications: A polypharmacy list that includes at least one interaction or dosing issue. [2]
Examination: Key positives and critical negatives for dangerous differentials. [1]
Investigations: A small set of results that change management. [1] [2]
Tasks
- Present a prioritised problem list. [1]
- Defend investigations and immediate therapy. [1] [2]
- Provide safety-net and follow-up advice. [2]
Model discussion points
- Working diagnosis and acuity. [1]
- Differentials and discriminators. [2]
- Treatment sequence and monitoring. [1] [2] [3]
- Multimorbidity and communication. [2]
Short case
Focused examination or counselling station linked to Gallstone Disease AND Biliary Pathology, with one interpretation task and one shared-decision point. [1] [2]
References
- [1]Oyebamiji T, Schmitz R, Gebran A, Hendawy BS, et al. Focal Nodular Hyperplasia Presenting With Biliary Obstruction and Intrahepatic Gallstones: A Case Report and Literature Review Cureus, 2026.PMID 42388947
- [2]Golse N, Boulard P, Ciacio O, Robin F, et al. Gallstones: Physiopathology and treatment of cholelithiasis (part 1) J Visc Surg, 2026.PMID 42203606
- [3]Robin-Lersundi A, Abella Alvarez A, San Miguel Mendez C, Moreno Elalo-Olaso A, et al. Multidisciplinary Approach to Treating Severe Acute Pancreatitis in a Low-Volume Hospital World J Surg, 2019.PMID 31440777
- [4]Tazuma S, Nakanuma Y Clinical features of hepatolithiasis: analyses of multicenter-based surveys in Japan Lipids Health Dis, 2015.PMID 26475606
- [5]ASGE Standards of Practice Committee, Chathadi KV, Chandrasekhara V, Acosta RD, et al. The role of ERCP in benign diseases of the biliary tract Gastrointest Endosc, 2015.PMID 25665931
- [6]Doan HN, Chang MC Comparative Effectiveness of Unstable Versus Stable Resistance Training on Lower Limb Strength, Mobility, and Fear of Falling in Older Adults: A Systematic Review and Meta-analysis of Randomized Controlled Trials Am J Phys Med Rehabil, 2026.PMID 42468010
- [7]Liu HW, Tsai TL Virtual Reality-assisted Physiotherapeutic Training for Patients With Knee Osteoarthritis: A Systematic Review and Meta-analysis Am J Phys Med Rehabil, 2026.PMID 42468005
- [8]Osborne AK, Brown RD, Sillence E Effects of Social Media Narratives on Affective and Behavioral Responses to Menopause Content: Randomized Online Experimental Study JMIR Form Res, 2026.PMID 42467962