What is the most sensitive step for controlling bilirubin excretion?
MRP-2 excretion into bile duct, if defect makes conjugated (direct) hyper bilirubinemia
IgM what tell about hepatitis infection
Acute infection
IgG what tell you about hepatitis infection
Chronic infection or recovered
Kayser fleischer rings (copper rings eyes), altered mental status, jaundice
Wilson disease, hereditary cirrhosis, copper overload
Hemochromatosis
Bronze diabetes (bronze skin), elevated iron (ferritin), heart problem
Alpha 1 antitrypsin defiency
COPD, cirrosis young person that is a non smoker
Meckel’s diverticulum
2 feet from cecum, 2 cm size, young people bleeding