2.03

Question 1

Pre-hepatic jaundice cause

Answer 1

RBC breakdown –> produces excess bilirubin

Question 2

Hepatocellular jaundice cause

Answer 2

Hepatocyte damage
- inability to metabolise unconjugated bilirubin from bloodstream

Question 3

Obstructive Jaundice causes

Answer 3

Cholestasis
- Gallstones
- Pancreatic Adenocarcinoma

Question 4

Obstructive jaundice features

Answer 4

High ALP & GGT

• Dark urine
• Pale stools

Question 5

Hepatocellular jaundice features

Answer 5

High ALT & AST

Question 6

Pre-hepatic jaundice features

Answer 6

Pt often anaemic due to lack of RBC
- LFTs usually normal

Diagnosis may be Gilbert’s syndrome if no anaemia is present

Question 7

Complications of portal HTN

Answer 7

• Caput Medusae
• Haemorrhoids
• Oesophageal varices