Article1 September 1966Biliary Secretory Failure in ManThe Problem of CholestasisSHEILA SHERLOCK, M.D., F.R.C.P., F.R.C.P.E., F.A.C.P. (HON.)SHEILA SHERLOCK, M.D., F.R.C.P., F.R.C.P.E., F.A.C.P. (HON.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-65-3-397 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe diagnosis of the type and cause of jaundice is usually an easy clinical exercise. The majority of patients will be suffering from hepatocellular jaundice due to acute viral hepatitis or cirrhosis or surgical cholestatic jaundice due to cholelithiasis or carcinoma of the pancreas or liver. Such conditions will be obvious to most junior physicians. There remains a proportion in which difficulty arises, and this is especially so when the distinction between medical and surgical jaundice is required. 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