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Class of 2023
Session Information


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Session Title:
SURG: Biliary Tract Disease
Description:
Keywords:
Learning Objectives
Blueprint ID Learning Objectives
1072 Explain the differential diagnosis of a patient with jaundice: (a) Discuss pre-hepatic, intrahepatic (both non-obstructive) and post-hepatic (obstructive) etiologies, (b) Discuss painful vs. non-painful, (c) Discuss benign vs. malignant, and (d) Discuss inflammatory vs. non-inflammatory.
1073 List and explain the justification for the diagnostic modalities used in the examination of a patient with jaundice, including limitations, relative costs, and potential risks. (a) Explain the importance of the patient’s history: estimated duration of illness, associated symptoms (pain and its characteristics), and risk factors. (b) Discuss important physical exam findings: (i) hepatomegaly (ii) palpable mass (iii) Courvoisier’s sign (iv) Murphy’s sign (v) scleral icterus (vi) abdominal tenderness (vii) lymphadenopathy (viii) Charcot’s triad (ix) Reynold’s pentad
1074 Explain the rationale for using these diagnostic tests in the evaluation of a patient with jaundice: (a) liver function test, (b) other laboratory tests and their indications (hepatitis profile, peripheral blood smear, Coombs tests, etc.), and (c) hepatobiliary imaging procedures (ultrasound, CT scan, ERCP, PTHC, HIDA scan)
1075 Discuss the management principles, including initial treatment; role and timing of surgery; and, if necessary, timing of appropriate consultation of the following: (a) cholecystitis (b) choledocholithiasis (c) cholangitis (d) cholangiocarcinoma (e) pancreatic cancer (f) periampullary cancer (g) hepatic cancer (h) hepatitis
1076 Complete a focused history and physical examination that includes abdominal and rectal exam, palpating liver and spleen, Courvoisier’s sign and Murphy’s sign.
1077 Confirm physical findings of jaundice.
1078 Discuss alcohol abuse.
1079 Explain the importance of hepatitis vaccination.
1080 Explain the importance of appropriate transfusion practices.

Linked Course Goal(s) to Session
Blueprint ID Course Goals
11632 EPA 1 (AFMC): Obtain a history and perform a physical examination adapted to the patient''s clinical situation.
Linked Program Competencies
To This Course Goal:
me-1 me-2 cm-1 cm-2 ld-3 ha-1 sc-1 sc-2 pr-1
11633 EPA 2 (AFMC): Formulate and justify a prioritized differential diagnosis.
Linked Program Competencies
To This Course Goal:
me-4 me-6 cm-1 cm-2 cm-3 co-3 ld-3 ha-1 ha-2 sc-2 pr-1
11634 EPA 3 (AFMC): Formulate an initial plan of investigation based on the diagnostic hypotheses.
Linked Program Competencies
To This Course Goal:
me-4 me-5 me-6 cm-1 cm-2 cm-3 cm-4 cm-5 ld-2 ld-3 ha-1 ha-2 sc-1 sc-2 pr-1
11635 EPA 4 (AFMC): Interpret and communicate results of common diagnostic and screening tests.
Linked Program Competencies
To This Course Goal:
me-4 me-5 me-6 cm-1 cm-3 cm-5 co-1 co-3 ld-3 ha-1 ha-2 sc-1 sc-2 sc-3 pr-1
11636 EPA 5 (AFMC): Formulate, communicate and implement management plans.
Linked Program Competencies
To This Course Goal:
me-4 me-5 me-6 cm-1 cm-2 cm-3 cm-4 cm-5 co-1 co-2 co-3 ld-2 ld-3 ha-1 ha-2 sc-1 sc-2 sc-3 pr-1
11637 EPA 6 (AFMC): Present oral and written reports that document a clinical encounter.
Linked Program Competencies
To This Course Goal:
me-4 me-5 me-6 cm-1 cm-3 cm-5 co-1 co-3 ld-2 ld-3 ha-1 ha-2 ha-3 sc-1 sc-2 sc-3 pr-1
11639 EPA 8 (AFMC): Recognize a patient requiring urgent or emergent care, provide initial management and seek help.
Linked Program Competencies
To This Course Goal:
me-1 me-2 me-3 me-4 me-5 me-6 cm-1 cm-2 cm-3 cm-4 cm-5 co-1 co-2 co-3 ld-1 ld-2 ld-3 ha-1 sc-1 sc-2 sc-3 pr-1
Linked Program Competencies To Course Goal(s)
me-1 Medical Expert
Perform a complete and accurate patient-centred history appropriate to the patient’s presentation.
me-2 Medical Expert
Perform a complete and accurate physical examination appropriate to the patient’s presentation.
cm-1 Communicator
Develop and maintain appropriate ethical and therapeutic relationships, rapport and trust with patients and their families.
cm-2 Communicator
Collect and synthesize accurate and relevant information, incorporating perspectives from patients and their families, colleagues and other health care professionals.
ld-3 Leader
Describe the roles and responsibilities of physicians and governing bodies in the development and support of the health care system.
ha-1 Health Advocate
Identify the important determinants of health, risk factors for illness, interaction between the population and their physical, biological and social environment, and personal attributes.
sc-1 Scholar
Develop a plan for personal continued education.
sc-2 Scholar
Apply the principles of research, critical appraisal and evidence-based medicine to learning and practice.
pr-1 Professional
Demonstrate accountability to patients by applying best practices and adhering to high ethical standards.
me-4 Medical Expert
Develop a differential diagnosis and key clinical problem list following assessment of a patient.
me-6 Medical Expert
Apply knowledge of the clinical, socio-behavioural, and fundamental biomedical sciences relevant to a clinical problem.
cm-3 Communicator
Discuss relevant health care information and management plans with patients and their families.
co-3 Collaborator
Demonstrate respect for health care team members without bias (e.g., bias related to gender, ethnicity, cultural background or health care role).
ha-2 Health Advocate
Identify public policies and trends that affect health locally, nationally, and globally, and barriers to access for populations, including persons with disabilities, the underserved and the marginalized.
me-5 Medical Expert
Develop a management plan for key clinical problems following assessment of a patient.
cm-4 Communicator
Develop a shared plan of care with patients, their families, and other health care professionals.
cm-5 Communicator
Demonstrate effective oral and written communication of information associated with a medical encounter.
ld-2 Leader
Apply evidence and management processes to effectively allocate health care resources.
co-1 Collaborator
Demonstrate effective collaboration skills within the health care system.
sc-3 Scholar
Demonstrate facilitation of learning for health care professionals, patients and society as part of the professional responsibility.
co-2 Collaborator
Demonstrate effective consultation with other health care professionals to provide care for individuals, communities, and populations.
ha-3 Health Advocate
Assess and respond to issues in the Canadian health care system and advocate for patients at all levels.
me-3 Medical Expert
Formulate an initial plan of appropriate diagnostic and therapeutic procedures relevant to the patient’s presentation.
ld-1 Leader
Identify strategies to effectively manage practice and career.

Linked MCC Medical Expert Objectives
(015-1) BLEEDING, BRUISING
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(003-2) ACUTE ABDOMINAL PAIN
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(003-3) CHRONIC ABDOMINAL PAIN
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(049) JAUNDICE
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(052) ABNORMAL LIVER FUNCTION TESTS
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(002) ABDOMINAL / PELVIC MASS
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