1. Differential Diagnosis Farie

2. Differential Diagnoses

3. TB Lymphadenitis Chronic specific granulomatous inflammation of the lymph node with caseation necrosis • Right hypochondriac pain, epigastric pain and tenderness, jaundice, weight loss, icterisia • Philippines is endemic for Tuberculosis • Involvement of abdomen (one of the common sites of extrapulmonary TB) • No associated or antecedent pulmonary TB (Majority of patients do not have associated or antecedent pulmonary TB) • No splenomagaly or ascites

4. PeribiliaryCancer • Jaundice - presenting symptom; intermittently wax and wanes because of necrosis and sloughing or pressure opening of minimally obstructed duct • Progressive weight loss • Abdominal pain - midepigastric or right hypochondriac • Loss of appetite Tumor arising from the distal common bile duct, duodenum and ampulla of Vater

5. Choledocholithiasis The presence of stones in the common bile duct • Epigastric pain that come and go, cramping. • Jaundice, tea-colored urine and light-colored stools • Female • 64 y/o