It is difficult to say how often the symptom jaundice occurs in gallstone patients. It is a symptom which the patients and their associates take remarkably little notice of, or the statements are so vague that nothing can be made of them. It is also difficult to ascertain how frequently jaundice follows the attacks themselves, and any data will be vitiated if we do not clearly define what we mean by an attack and what we mean by jaundice. If we take an attack to mean a severe attack and jaundice to mean even the slightest sign of the symptom, the frequency of occurrence will be relatively great, and vice versa. I contend that the symptom will occur more often and its diagnostic value, therefore, will be increased by a systematic search for it, that is to say, by looking for it at times when there is a likelihood of
MEULENGRACHT E. THE DEMONSTRATION OF TRANSIENT JAUNDICE IN GALLSTONE COLIC. Arch Intern Med (Chic). 1925;35(2):214–223. doi:https://doi.org/10.1001/archinte.1925.00120080066006
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