A young male with gallbladder stones shows the following test results; serum bilirubin 2.5, Hb 6; urine test positive for urobilinogen; diagnosis is:
Correct Answer: Hemolytic jaundice
Description: Answer is A (Haemolytic jaundice) All findings in the question corroborate with a haemolytic picture. Presence of Urobilinogen in urine rules out an obstructive cause for jaundice. Decrease in haemoglobin and elevated bilirubin levels are consistent with a haemolytic cause. Gall stones can be explained by precipitation of bilirubin (Bilirubinate crystals) Distinguishing features between various forms of Jaundice : Parameter Hemolytic Hepatocellular Obstructive Blood Blood Blood Blood Haemoglobin (12-18 g/dI) Unconjugated bilirubin (0.2 to 0.7 mg/dl) Conjugated bilirubin (0.1 to 0.3 mg/dl) Alkaline phosphatase (3-13 KAU) (30 to 120 IU/L) Aminotransferases . Cholesterol Decreased || N N N N N. N or | | N or | || N N. N | || N | Stool Stool Stool Stool Colour of stool N N Pale Urine Urine Urine Urine Bilirubin Urobilinogen 0 | | | | | Note : Gilbes Syndrome and Criggler Najjar syndrome: are enzyme disorders characterized by defective conjugation. They thus present with a picture similar to Hemolytic with the following exceptions: a. Hb is not decreased b.Urobilinogen is not increased (N or Rotor's syndrome and Dubin Johnson syndrome are characterized by defective excretion. They thus present with a picture similar to obstructive with the following exceptions: Alkaline phosphatase is not raised.
Category:
Medicine
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now