Chapter 043 Jaundice (Part 7) doc

... 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 ... Ampullary cancer 5. Malignant involvement of the porta hepatis lymph nodes B. Benign 1. Choledocholithiasis 2. Postoperative biliary structures 3. Primary sclerosing ch...

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

... Chapter 043. Jaundice (Part 9) Choledocholithiasis is the most common cause of extrahepatic cholestasis. The clinical ... 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 pa...

Ngày tải lên: 06/07/2014, 15:21

... evaluation of the patient who is jaundiced requires an understanding of bilirubin production and metabolism. Production and Metabolism of Bilirubin (See also Chap. 2 97) Bilirubin, a tetrapyrrole ... 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...

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

... 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

... 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

... 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 ... predating jaundice suggests hepatitis, either viral or drug-related. Jaundice associated with the sudden onset of severe right upper quadrant pain and shaking chills sugges...

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

... certain "average" standards. Authorization for reimbursement is increasingly based on documentation of the nature and complexity of an illness, as reflected by recorded elements of

Ngày tải lên: 06/07/2014, 08:20