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Clinical approach to jaundice

Clinical approach to jaundice. Rvin Gatmaitan. Excessive intake of carotene containing food such as carrots, leafy vegetables, squash, peaches, and oranges. Yellowish discoloration concentrated on palms, soles, forehead & nasolabial folds.

vladimir-zimmerman
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Clinical approach to jaundice

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  1. Clinical approach to jaundice RvinGatmaitan

  2. Excessive intake of carotene containing food such as carrots, leafy vegetables, squash, peaches, and oranges Yellowish discoloration concentrated on palms, soles, forehead & nasolabialfolds

  3. Excessive intake of carotene containing food such as carrots, leafy vegetables, squash, peaches, and oranges Yellowish discoloration concentrated on palms, soles, forehead & nasolabialfolds

  4. Uniformly distributed in skin and icteric sclera Intake of quinacrine or rifampicin

  5. Uniformly distributed in skin and icteric sclera Intake of quinacrine or rifampicin

  6. (-) Murphy’s sign (-) fluid wave, bulging flanks and shifting dullness (-) spider angioma and caput medusae (-) Hepatomegaly (liver span = 9 cm) (-) splenomegaly (+) Jaundice (+) Tea-colored urine (+) yellow discoloration of the skin (+) Ictericsclerae

  7. Ssx of anemia (pallor, fatigue, weakness, dizziness, confusion, shortness of breath, and potential for heart failure) • Usually normal colored urine and stool • If inherited symptoms should have been present at an earlier age • jaundice, splenomegaly, hepatomegaly, tachycardia, murmur

  8. Crigler-Najjar syndromes – complete/incomplete absence of UDPGT activity Gilbert’s syndrome – reduced bilirubin UDPGT activity Manifestations of disorders in conjugation should appear earlier

  9. (-) spider angioma and caput medusae (-) Hepatomegaly (liver span = 9 cm) (-) fluid wave, bulging flanks and shifting dullness (-) splenomegaly

  10. Obstructive jaundice secondary to Pancreatic head mass r/o pancreatic ductal adenocarcinoma Primary Impression

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