mbch4kz2's version from 2016-04-16 17:16


Question Answer
What is normal bilirubin1-20umol/l
What are the 3 types of jaundice?Prehepatic, intrahepatic and post-hepatic
Name 5 signs of haemolytic jaundiceDark stools, urine is dark (due to increased urobollogens as a result of increased bilirubin), pallor (due to anaemia), splenomegaly, LFTs normal, plasma bilirubin around 100umol/L
Name 3 causes of haemolytic jaundiceSickle-cell anaemia, thalassaemia, medications
Name 2 medications that can cause haemolytic jaundiceSulfasalazine and methyldopa
Name 3 causes of hepatocellular jaundiceCirrhosis, hepatitis, drug induced liver injury (paracetamol and halothane)
Name 2 signs of cholestatic jaundiceLoin pain, dark urine, pale stools
What is the process of ERCPPerformed under IV sedation. Uses a long, flexible duodenoscope which is inserted into the mouth, through the back of the throat, down the oesophagus, through the stomach and into the duodenum. Once the papilla of Vater is identified, a small plastic catheter is passed through the open channel of the endoscope into the opening of the papilla and into the bile ducts and/or the pancreatic duct. Contrast dye is injected and X-rays are taken of the bile ducts and the pancreatic duct. An open channel in the endoscope also allows other instruments to be passed through in order to perform biopsies or to insert plastic or metal tubing or perform incisions using electrocautery