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. 2001 Dec 15;323(7326):1413–1416. doi: 10.1136/bmj.323.7326.1413
Symptoms Signs
• Obstructive jaundice—dark urine, • Jaundice
pale stools, pruritus • Cachexia, anaemia
• Pain • Epigastric mass (late)
  Back (common) • Palpable gall bladder
  Epigastric (Courvoisier's sign)
• Vomiting
• Weight loss
• Anorexia
• Haematemesis or melaena (late)