Chapter 043 Jaundice (Part 3) ppt

... Direct hyperbilirubinemia A. Inherited conditions 1. Dubin- Chapter 043. Jaundice (Part 3) Evaluation of the patient with jaundice. MRCP, magnetic resonance cholangiopancreatography; ALT,

Ngày tải lên: 06/07/2014, 15:21

... to biliverdin. The differential diagnosis for yellowing of the skin is limited. In addition to jaundice, it includes carotenoderma, the use of the drug quinacrine, and excessive exposure to ... that contain carotene, such as carrots, leafy vegetables, squash, peaches, and oranges. Unlike jaundice, where the yellow coloration of the skin is uniformly distributed over the body, in caroten...

Ngày tải lên: 06/07/2014, 15:21

... advanced cirrhosis. Chapter 043. Jaundice (Part 5) History A complete medical history is perhaps the single most important part of the evaluation of the patient with unexplained jaundice. Important ... particular diagnosis. A history of arthralgias and myalgias predating jaundice suggests hepatitis, either viral or drug-related. Jaundice associated with the sudden onset o...

Ngày tải lên: 06/07/2014, 15:21

... elevated; a normal ESR does not exclude giant cell arteritis. A temporal artery Chapter 015. Headache (Part 3) Intracranial Hemorrhage Acute, severe headache with stiff neck but without

Ngày tải lên: 06/07/2014, 08:20

... Chapter 043. Jaundice (Part 9) Choledocholithiasis is the most common cause of extrahepatic cholestasis. ... quadrant discomfort with only minimal elevations of the enzyme tests to ascending cholangitis with jaundice, sepsis, and circulatory collapse. PSC may occur with clinically important strictures ... 800 IU/L), but the bilirubin is often near normal. These patients do not...

Ngày tải lên: 06/07/2014, 15:21

... glucuronides is impaired and the glucuronides are present in serum in increasing amounts. By Chapter 043. Jaundice (Part 2) Measurement of Serum Bilirubin The terms direct- and indirect-reacting ... bilirubin in the serum of patients with hepatobiliary disease. Third, these studies indicate that in jaundiced patients with hepatobiliary disease, monoglucuronides of bilirubin pr...

Ngày tải lên: 06/07/2014, 15:21

... and Rotor's syndrome (Table 43-1). Patients with both conditions present with asymptomatic jaundice, typically in the second generation of life. The defect in Dubin-Johnson syndrome is mutations ... nature. Elevation of Serum Bilirubin with Other Liver Test Abnormalities The remainder of this chapter will focus on the evaluation of the patient with a conjugated hyperbilirubinemia...

Ngày tải lên: 06/07/2014, 15:21

... Wilson's disease Autoimmune hepatitis Chapter 043. Jaundice (Part 6) Hepatocellular Conditions Hepatocellular diseases that can cause jaundice include viral hepatitis, drug or environmental ... believed to occur primarily in young adults, should be considered in all adults if no other cause of jaundice is found. Autoimmune hepatitis is typically seen in young...

Ngày tải lên: 06/07/2014, 15:21

... Cholestasis of pregnancy I. Total parenteral nutrition J. Nonhepatobiliary sepsis Chapter 043. Jaundice (Part 7) Cholestatic Conditions When the pattern of the liver tests suggests a cholestatic ... liver biopsy. The list of possible causes of intrahepatic cholestasis is long and varied (Table 43 -3). A number of conditions that typically cause a hepatocellular pattern of inj...

Ngày tải lên: 06/07/2014, 15:21

... marrow transplantation. Vanishing bile duct syndrome also occurs in rare cases of Chapter 043. Jaundice (Part 8) Drugs may cause intrahepatic cholestasis, a variant of drug-induced hepatitis. ... the intensive care unit, the major considerations should be sepsis, shock liver, and TPN jaundice. Jaundice occurring after bone marrow transplantation is most likely due to venooc...

Ngày tải lên: 06/07/2014, 15:21