Causes of elevated direct bilirubin in adults
Causes of Elevated Bilirubin Levels In Adults
When excessive levels of bilirubin accumulate in the blood (> 2.5 or 3 mg/dL) this chemical accumulates in sclera and colors it yellow; it also accumulates under the tongue and ultimately in the skin, causing a yellow or even green color (bilirubin can be oxidized with time to a more green pigment); the visible excess bilirubin in a patient is ...
[DOC File]Gastrointestinal MCQ’s
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1.What is a normal direct bilirubin in neonates?
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The patient has a slightly elevated temperature, heart rate and respiratory rate. If requested, pulse oximetry shows 91%. He is otherwise a well-nourished male who appears in mild respiratory distress. He will have some slight wheezing on auscultation and diminished breath sounds in the lower lobes, but examination will otherwise be unremarkable.
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"Physiologic jaundice" is usually transient and is due to an increased bilirubin load from increased red blood cell volume, decreased survival time of the red blood …
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The BUN, creatinine, ALT, AST, and bilirubin may also be elevated, consistent with multiorgan failure. In man, the mortality of untreated bubonic plague is approximately 60 percent (reduced to
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REFERENCE VALUES Bilirubin Total Up to 1.10 mg/dL=18.81 µmol/L Bilirubin Direct Up to 0.25 mg/dL=4.27µ mol/L Questions: Write causes of jaundice. What are the commonest methods of estimating serum bilirubin in neonates? Mention the different causes of elevated direct and indirect bilirubins. Catalytic (Enzymatic) activities of Liver (ELFT)
[DOCX File]Patient Name; Age
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Creatinine 1.2 mg/dL Total Bilirubin 0.3 mg/dL Total Protein 7.9 g/dL Direct Bilirubin 0.1 mg/dL Albumin 4.2 g/dL Uric Acid 6.6 mg/dL CK 94 U/L Cholesterol 234 mg/dL LDH 237 U/L Triglyceride 615 mg/dL HPD Hct 43.1 % RBC 5,110,000/mm3 Hgb 14.6 g/dL WBC 9,000/mm3 MCV 84 fL Neutrophils 66.8% MCH 29 pg Lymphocytes 9.6%
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Additionally, elevated conjugated (or direct) bilirubin levels may indicate illnesses with system effects, such as cirrhosis and hepatitis (Dugdale, 2009; Porth, 2007). However, this client has no other signs or symptoms of hepatic impairment, including a normal abdominal …
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Normally conjugated bilirubin makes up 70% of the total bilirubin. ALT is a more specific marker of hepatocellular dysfunction than AST. AST: ALT ratio of greater then 2 is common in alcoholic hepatitis. Isolated elevation of ALP may be seen in primary biliary cirrhosis and sclerosing cholangitis.
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accompanied by increased direct bilirubin, or . accompanied by clinical symptoms of liver injury or evidence for hepatic decompensation . In the controlled clinical studies, one patient receiving eltrombopag experienced Grade 4 elevations in serum liver test values, worsening of underlying cardiopulmonary disease, and death.
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