Hemolytic Jaundice Symptoms weakness. Dark urine. anemia Icterus, splenomegaly lLab Ubt without bilirubinuria fecal and urine urobilinogen a hemolytic anemia a hemoglobinuria(in acute intravascular hemolysis) Reticulocyte counts个
Hemolytic Jaundice Symptoms weakness, Dark urine, anemia, Icterus, splenomegaly Lab ◼ UB without bilirubinuria ◼ fecal and urine urobilinogen ◼ hemolytic anemia ◼ hemoglobinuria (in acute intravascular hemolysis) ◼ Reticulocyte counts
Obstructive Jaundice Pathogenesis it is due to intra- and extra hepatic obstruction of bile ducts intrahepatic Jaundice: Hepatitis, PBC Drugs Extra Hepatic Biliary Obstruction: Stones. Stricture. Inflammation. Tumors (Ampulla of vater)
Obstructive Jaundice Pathogenesis • it is due to intra- and extra hepatic obstruction of bile ducts • intrahepatic Jaundice: Hepatitis, PBC, Drugs • Extra Hepatic Biliary Obstruction: Stones, Stricture, Inflammation, Tumors, (Ampulla of Vater)
Obstructive jaundice symptoms Pruritus Jaundice may vary in intensity Chill+ fever+gall bladder enlargement →> stone+ cholangitis
Obstructive Jaundice symptoms • Pruritus • Jaundice may vary in intensity • Chill+fever+gall bladder enlargement →stone+cholangitis
Obstructive Jaundice Lab Findings Serum Bilirubin个 Feceal urobilinogen\(incomplete obstruction) Feceal urobilinogen absence(complete obstruction) urobilinogenuria is a bsent in complete obstructive jaundice bilirubinuria↑ 。ALP个 cholesterol个
Obstructive Jaundice Lab Findings • Serum Bilirubin • Feceal urobilinogen (incomplete obstruction) • Feceal urobilinogen absence (complete obstruction) • urobilinogenuria is absent in complete obstructive jaundice • bilirubinuria • ALP • cholesterol