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11 Cards in this Set

  • Front
  • Back

Conjugated hyperbilirubinaemia (direct bilirubin)

Biliary Obstruction


- choledocholithiasis


- pancreatic tumour


- biliary stricture


- primary sclerosing cholangitis


- biliary duct carcinoma




Hepatocellular damage or intrahepatic cholestasis


- hepatitis (e.g. alcohol, viral)


- hepatic cirrhosis


- biliary cirrhosis


- drugs


- sepsis


- cholangitis


- liver abscess


- Budd-Chiari syndrome


- infectious mononuc


- spirochetal infection


- infiltrative disease (TB, sarcoidosis, lymphoma)


- industrial toxins




Hereditary bilirubin excretion defects





Unconjugated hyperbilirubinaemia (indirect bilirubin)

Incrased production


- haemolysis


- hematoma - retrogression


- pulmonary infarction - RBCs in lung


- post-operative




Impaired uptake and storage


- posthepatitis hyperbili


- Gilbert's syndrome (genetic liver disorder)


- Drugs

Is urine dark, stools pale?

Obstructive jaundice

Has your skin been itching?

Pruritis

Have you had a fever?

Cholangitis

Have you had change in appetite or weight?

Malignancy

Alcohol screen?

Alcoholic liver disease

IVDU, tattoos, blood transfusions?

Chronic hepatitis

Travel to Hepatitis A endemic regions?

Hepatitis A infection

Have you been immunised against Hepatitis B?

Hepatitis B infection

History of IBD?

Primary sclerosing cholangitis