SlideShare a Scribd company logo
1 of 20
 YELLOWISH DISCOLOURATION OF TISSUE
 RESULTING FROM THE DEPOSITION OF
 BILIRUBIN

 DEGREE OF SERUM BILIRUBIN ELEVATION CAN
 BE ESTIMATED BY PHYSICAL EXAMINATION
CAUSES
 ISOLATED HYPERBILIRUBINEMIA


 HEPATOCELLULAR CONDITIONS


 CHOLESTATIC CONDITIONS
CAUSES OF ISOLATED HYPER
BILIRUBINEMIA
 INDIRECT
*HEMOLYTIC DISORDERS
1.INHERITED-SPHEROCYTOSIS,ELLIPTOCYTOSIS
            SICKLE CELL ANEMIA

2.ACQUIRED-MICROANGIOPATHIC HEMOLYTIC
  ANEMIA,PNH

*DRUGS-PIFAMPICIN,PROBENECID,RIBAVIRIN
*INHERITED CONDITION-CRIGGLER NAJJAR
                   GILBERTS SYND


DIRECT

*INHERITED-DUBIN JOHNSONS SYND
          ROTORS SYND
HEPATOCELLULAR
 VIRAL HEPATITIS
 EBSTEIN BAR VIRUS
 ALCOHOL
 DRUG TOXICITY-ACETAMINOPHEN,ISONIAZID
 ENV.TOXINS-VINYL CHLORIDE,WILD
  MUSHROOM(AMANITA PHALLOIDES)
 WILSONS DISEASE
CHOLESTATIC CONDITIONS
 INTRAHEPATIC

A.VIRAL HEPATITIS
B.ALC HEPATITIS
C.PRIMARY BILIARY CIRRHOSIS
D.PARANEOPLASTIC SYNDROME
E.GVH
F.INFILTATIVE DISEASE-TB,LYMPHOMA,AMYLOID
 EXTRAHEPATIC

A.MALIGNANT-CHOLANGIOCARCINOMA
            PANCREATIC CANCER
            GALLBLADDER CANCER
B.BENIGN   -C/C PANCREATITIS
            CHOLEDOCHOLITHIASIS
            AIDS CHOLANGIOPATHY
HISTORY

 EXPOSURE TO ANY CHEMICAL OR MEDICATION
 PARENTERAL EXPOSURES INCLUDING
  TRANSFUSION
 RECENT TRAVEL HISTORY
 EXPOSURE TO PATIENTS
 EXPOSURE TO HEPATOTOXINS
 ALCOHOL CONSUMPTION
 HISTORY SHOULD INCLUDE


 DURATION OF JAUNDICE
 ASSOCIATED SYMPTOMS
 ARTHRALGIA,MYALGIA
 RASH,ANOREXIA
 WEIGHT LOSS
 ABDOMINAL PAIN
 FEVER,PRURITUS
 CHANGES IN URINE&STOOL
PHYSICAL EXAMINATION
 COLLAGENOUS TISSUE HAS GREATER AFFINITY
 FOR BILIRUBIN

 SCLERA,PALMAR APONEUROSIS,NAIL
 BEDS,UNDER ASPECT OF TONGUE

 PT SHOULD BE EXAMINED IN BRIGHT DAY LIGHT
 ITS PRESENCE IS AN INDICATION FOR FURTHER
 CLINICAL EXAMINATION
PHYSICAL EXAMINATION
 ASSESSMENT OF PATIENTS NUTRITIONAL STATUS
 TEMORAL&PROXIMAL MUSCLE WASTING
 SUGGEST – PANCREATIC CANCER OR CIRRHOSIS

 STIGMATA OF CHRONIC LIVER DISEASES


 SPIDER NEVI-VASCULAR DILATATIONS
 PALMAR ERYTHEMA-PALMS ARE ERYTHEMATOUS
 & WARM DUE TO VASODILATATION

 IMPOTENCE
 GYNAECOMASTIA
 DUPYTRENS CONTRACTURE
 CAPUT MEDUSAE
 TESTICULAR ATROPHY
 ENLARGED LEFT SUPRACLAVICULAR NODE-
  VIRCHOWS NODE
 PERIUMBILICAL NODULE-SISTER MARY JOSEPHS
  NODULE
 BOTH SUGGEST ABDOMINAL MALIGNANCY


 CLUBBING OF FINGERS-COMMON IN CIRRHOSIS
ABDOMINAL EXAMINATION
 SHOULD FOCUS ON SIZE AND CONSISTENCY OF
 LIVER

 WHETHER SPLEEN IS PALPABLE


 ASCITES PRESENT OR NOT
 ENLARGEDLEFT LOBE OF LIVER FELT BELOW THE
 XIPHOID WITH AN ENLARGED SPLEEN – SUGGEST
 CIRRHOSIS

 ENLARGED TENDER LIVER-VIRAL OR ALCOHOLIC
 HEPATITIS

 GROSSLY ENLARGED NODULAR LIVER-
 MALIGNANCY
 SEVERE RT UPPER QUADRANT TENDERNESS
 WITH RESPIRATORY ARREST ON INSPIRATION-
 CHOLECYSTITIS

 ASCITES+JAUNDICE-CIRRHOSIS OR MALIGNANCY
 WITH PERITONEAL SPREAD
THANK YOU…………..

More Related Content

What's hot

The Spleen : Trauma & Portal Hypertension
The Spleen : Trauma & Portal HypertensionThe Spleen : Trauma & Portal Hypertension
The Spleen : Trauma & Portal HypertensionMuhammad Eimaduddin
 
Obstructive Jaundice presentaion harsh.pptx
Obstructive Jaundice presentaion harsh.pptxObstructive Jaundice presentaion harsh.pptx
Obstructive Jaundice presentaion harsh.pptxDrHarsh Saxena
 
Peritonitis
PeritonitisPeritonitis
PeritonitisDin Raj
 
Portal hypertension paediatrics
Portal hypertension paediatricsPortal hypertension paediatrics
Portal hypertension paediatricsDr. Liza Bulsara
 
Spleenomegaly & hypersplenism etiology pathogenesis and surgical management
Spleenomegaly & hypersplenism etiology pathogenesis and surgical managementSpleenomegaly & hypersplenism etiology pathogenesis and surgical management
Spleenomegaly & hypersplenism etiology pathogenesis and surgical managementAravind Endamu
 
investigations and management of obstructive jaundice secondary to stone disease
investigations and management of obstructive jaundice secondary to stone diseaseinvestigations and management of obstructive jaundice secondary to stone disease
investigations and management of obstructive jaundice secondary to stone diseaseErum Khateeb
 
Epigastric pain differential diagnosis
Epigastric pain differential diagnosisEpigastric pain differential diagnosis
Epigastric pain differential diagnosisabdelrazekdawod
 
Approach to a patient with ascites
Approach to a patient with ascitesApproach to a patient with ascites
Approach to a patient with ascitesFarwa Shabbir
 
Approach patient with juandice
Approach patient with juandiceApproach patient with juandice
Approach patient with juandiceYahyia Al-abri
 
acute gastrointestinal bleeding /hematemesis/melena
acute gastrointestinal bleeding /hematemesis/melenaacute gastrointestinal bleeding /hematemesis/melena
acute gastrointestinal bleeding /hematemesis/melenamahmoodyasin
 
Portal hypertension in paediatrics
Portal hypertension in paediatricsPortal hypertension in paediatrics
Portal hypertension in paediatricsUday Sankar Reddy
 

What's hot (20)

The Spleen : Trauma & Portal Hypertension
The Spleen : Trauma & Portal HypertensionThe Spleen : Trauma & Portal Hypertension
The Spleen : Trauma & Portal Hypertension
 
Upper GI bleeding
Upper GI bleedingUpper GI bleeding
Upper GI bleeding
 
jaundice approach
jaundice approachjaundice approach
jaundice approach
 
Acute abdomen
Acute abdomenAcute abdomen
Acute abdomen
 
Obstructive Jaundice presentaion harsh.pptx
Obstructive Jaundice presentaion harsh.pptxObstructive Jaundice presentaion harsh.pptx
Obstructive Jaundice presentaion harsh.pptx
 
Ac nephritic synd
Ac nephritic syndAc nephritic synd
Ac nephritic synd
 
Peritonitis
PeritonitisPeritonitis
Peritonitis
 
Portal hypertension paediatrics
Portal hypertension paediatricsPortal hypertension paediatrics
Portal hypertension paediatrics
 
Spleenomegaly & hypersplenism etiology pathogenesis and surgical management
Spleenomegaly & hypersplenism etiology pathogenesis and surgical managementSpleenomegaly & hypersplenism etiology pathogenesis and surgical management
Spleenomegaly & hypersplenism etiology pathogenesis and surgical management
 
Approach to jaundice
Approach to jaundiceApproach to jaundice
Approach to jaundice
 
investigations and management of obstructive jaundice secondary to stone disease
investigations and management of obstructive jaundice secondary to stone diseaseinvestigations and management of obstructive jaundice secondary to stone disease
investigations and management of obstructive jaundice secondary to stone disease
 
Epigastric pain differential diagnosis
Epigastric pain differential diagnosisEpigastric pain differential diagnosis
Epigastric pain differential diagnosis
 
Approach to chronic diarrhea
Approach to chronic diarrheaApproach to chronic diarrhea
Approach to chronic diarrhea
 
Approach to a patient with ascites
Approach to a patient with ascitesApproach to a patient with ascites
Approach to a patient with ascites
 
Approach patient with juandice
Approach patient with juandiceApproach patient with juandice
Approach patient with juandice
 
acute gastrointestinal bleeding /hematemesis/melena
acute gastrointestinal bleeding /hematemesis/melenaacute gastrointestinal bleeding /hematemesis/melena
acute gastrointestinal bleeding /hematemesis/melena
 
Variceal Bleeding
Variceal Bleeding Variceal Bleeding
Variceal Bleeding
 
Portal hypertension in paediatrics
Portal hypertension in paediatricsPortal hypertension in paediatrics
Portal hypertension in paediatrics
 
Jaundice
JaundiceJaundice
Jaundice
 
Ascitis -
Ascitis - Ascitis -
Ascitis -
 

Similar to Jaundice

ACUTE LIVER FAILURE (2).pptx
ACUTE LIVER FAILURE (2).pptxACUTE LIVER FAILURE (2).pptx
ACUTE LIVER FAILURE (2).pptxDr-Vishal Jainth
 
Hepatic/ Liver cirrhosis
Hepatic/ Liver cirrhosis  Hepatic/ Liver cirrhosis
Hepatic/ Liver cirrhosis TheRoyAshish
 
Jaundice BY Dr KARAN KUMAR
Jaundice BY Dr KARAN KUMARJaundice BY Dr KARAN KUMAR
Jaundice BY Dr KARAN KUMARKaran Kumar
 
Diagnostic approach to the patient with aki
Diagnostic approach to the patient with akiDiagnostic approach to the patient with aki
Diagnostic approach to the patient with akiSaint Vincent Hospital
 
DRUGS OF CHOICE - COMPILED.pdf
DRUGS OF CHOICE - COMPILED.pdfDRUGS OF CHOICE - COMPILED.pdf
DRUGS OF CHOICE - COMPILED.pdfDEEPSAB
 
Preparation of a patient of obstructive jaundice and periampullary carcinoma
Preparation of a patient of obstructive jaundice and periampullary carcinomaPreparation of a patient of obstructive jaundice and periampullary carcinoma
Preparation of a patient of obstructive jaundice and periampullary carcinomaDr.Manojit Sarkar
 
DIAGNOSTIC APPROACH AND MANAGEMENT OF ACUTE KIDNEY INJURY - Copy.pptx
DIAGNOSTIC APPROACH AND MANAGEMENT OF ACUTE KIDNEY INJURY - Copy.pptxDIAGNOSTIC APPROACH AND MANAGEMENT OF ACUTE KIDNEY INJURY - Copy.pptx
DIAGNOSTIC APPROACH AND MANAGEMENT OF ACUTE KIDNEY INJURY - Copy.pptxsubhayan999
 
Emergencies Of Gastroenterology
Emergencies Of GastroenterologyEmergencies Of Gastroenterology
Emergencies Of GastroenterologyHussamAldeen4
 
Necrotizing enterocolitis in newborns
Necrotizing enterocolitis in newbornsNecrotizing enterocolitis in newborns
Necrotizing enterocolitis in newbornsDr Praman Kushwah
 
Liver abcess made easy
Liver abcess  made easy Liver abcess  made easy
Liver abcess made easy NUPURVASHISHT2
 
Advanced trauma life support (atls)
Advanced trauma life support (atls)Advanced trauma life support (atls)
Advanced trauma life support (atls)Adeel Riaz
 
Urea Cycle Disorders
Urea Cycle DisordersUrea Cycle Disorders
Urea Cycle DisordersCSN Vittal
 
Cystic fibrosis and its physiotherapy management
Cystic fibrosis and its physiotherapy managementCystic fibrosis and its physiotherapy management
Cystic fibrosis and its physiotherapy managementSunil kumar
 

Similar to Jaundice (20)

ACUTE LIVER FAILURE (2).pptx
ACUTE LIVER FAILURE (2).pptxACUTE LIVER FAILURE (2).pptx
ACUTE LIVER FAILURE (2).pptx
 
CRF case study.pptx
CRF case study.pptxCRF case study.pptx
CRF case study.pptx
 
Hepatic/ Liver cirrhosis
Hepatic/ Liver cirrhosis  Hepatic/ Liver cirrhosis
Hepatic/ Liver cirrhosis
 
Jaundice BY Dr KARAN KUMAR
Jaundice BY Dr KARAN KUMARJaundice BY Dr KARAN KUMAR
Jaundice BY Dr KARAN KUMAR
 
Diagnostic approach to the patient with aki
Diagnostic approach to the patient with akiDiagnostic approach to the patient with aki
Diagnostic approach to the patient with aki
 
DRUGS OF CHOICE - COMPILED.pdf
DRUGS OF CHOICE - COMPILED.pdfDRUGS OF CHOICE - COMPILED.pdf
DRUGS OF CHOICE - COMPILED.pdf
 
Preparation of a patient of obstructive jaundice and periampullary carcinoma
Preparation of a patient of obstructive jaundice and periampullary carcinomaPreparation of a patient of obstructive jaundice and periampullary carcinoma
Preparation of a patient of obstructive jaundice and periampullary carcinoma
 
DIAGNOSTIC APPROACH AND MANAGEMENT OF ACUTE KIDNEY INJURY - Copy.pptx
DIAGNOSTIC APPROACH AND MANAGEMENT OF ACUTE KIDNEY INJURY - Copy.pptxDIAGNOSTIC APPROACH AND MANAGEMENT OF ACUTE KIDNEY INJURY - Copy.pptx
DIAGNOSTIC APPROACH AND MANAGEMENT OF ACUTE KIDNEY INJURY - Copy.pptx
 
Emergencies Of Gastroenterology
Emergencies Of GastroenterologyEmergencies Of Gastroenterology
Emergencies Of Gastroenterology
 
Fluid&electrolyte balance
Fluid&electrolyte balanceFluid&electrolyte balance
Fluid&electrolyte balance
 
LFT
LFTLFT
LFT
 
Necrotizing enterocolitis in newborns
Necrotizing enterocolitis in newbornsNecrotizing enterocolitis in newborns
Necrotizing enterocolitis in newborns
 
Liver abcess made easy
Liver abcess  made easy Liver abcess  made easy
Liver abcess made easy
 
Advanced trauma life support (atls)
Advanced trauma life support (atls)Advanced trauma life support (atls)
Advanced trauma life support (atls)
 
alcohol liver cirrhosis
alcohol liver cirrhosisalcohol liver cirrhosis
alcohol liver cirrhosis
 
Urology Ppt
Urology PptUrology Ppt
Urology Ppt
 
Cirrhosis
CirrhosisCirrhosis
Cirrhosis
 
Urea Cycle Disorders
Urea Cycle DisordersUrea Cycle Disorders
Urea Cycle Disorders
 
Cystic fibrosis and its physiotherapy management
Cystic fibrosis and its physiotherapy managementCystic fibrosis and its physiotherapy management
Cystic fibrosis and its physiotherapy management
 
CASE STUDY GERD
CASE STUDY GERDCASE STUDY GERD
CASE STUDY GERD
 

More from Abino David

Clinical features of intestinal obstruction
Clinical features of intestinal obstructionClinical features of intestinal obstruction
Clinical features of intestinal obstructionAbino David
 
Aetiology of intestinal obstruction
Aetiology of intestinal obstructionAetiology of intestinal obstruction
Aetiology of intestinal obstructionAbino David
 
Management of abortion
Management of abortionManagement of abortion
Management of abortionAbino David
 
Induction of labour
Induction of labourInduction of labour
Induction of labourAbino David
 
Valvular heart disease
Valvular heart diseaseValvular heart disease
Valvular heart diseaseAbino David
 
Growth anomalies of the female genital tract
Growth anomalies of the female genital tractGrowth anomalies of the female genital tract
Growth anomalies of the female genital tractAbino David
 
CONGENITAL TALIPES EQUINO VARUS
CONGENITAL TALIPES EQUINO VARUSCONGENITAL TALIPES EQUINO VARUS
CONGENITAL TALIPES EQUINO VARUSAbino David
 
Relation between fetus & pelvis
Relation between fetus & pelvisRelation between fetus & pelvis
Relation between fetus & pelvisAbino David
 
Caesarean section
Caesarean sectionCaesarean section
Caesarean sectionAbino David
 
Paracetamol and sedative overdosage
Paracetamol and sedative overdosageParacetamol and sedative overdosage
Paracetamol and sedative overdosageAbino David
 
Compartment syndrome
Compartment syndromeCompartment syndrome
Compartment syndromeAbino David
 
ABERRATION IN NORMAL DEVELOPMENT AND INVOLUTION
 ABERRATION IN NORMAL DEVELOPMENT AND INVOLUTION ABERRATION IN NORMAL DEVELOPMENT AND INVOLUTION
ABERRATION IN NORMAL DEVELOPMENT AND INVOLUTIONAbino David
 
Acute limb ischemia
Acute limb ischemiaAcute limb ischemia
Acute limb ischemiaAbino David
 

More from Abino David (20)

Clinical features of intestinal obstruction
Clinical features of intestinal obstructionClinical features of intestinal obstruction
Clinical features of intestinal obstruction
 
Aetiology of intestinal obstruction
Aetiology of intestinal obstructionAetiology of intestinal obstruction
Aetiology of intestinal obstruction
 
Management of abortion
Management of abortionManagement of abortion
Management of abortion
 
Induction of labour
Induction of labourInduction of labour
Induction of labour
 
Valvular heart disease
Valvular heart diseaseValvular heart disease
Valvular heart disease
 
Growth anomalies of the female genital tract
Growth anomalies of the female genital tractGrowth anomalies of the female genital tract
Growth anomalies of the female genital tract
 
CONGENITAL TALIPES EQUINO VARUS
CONGENITAL TALIPES EQUINO VARUSCONGENITAL TALIPES EQUINO VARUS
CONGENITAL TALIPES EQUINO VARUS
 
Relation between fetus & pelvis
Relation between fetus & pelvisRelation between fetus & pelvis
Relation between fetus & pelvis
 
Caesarean section
Caesarean sectionCaesarean section
Caesarean section
 
Paracetamol and sedative overdosage
Paracetamol and sedative overdosageParacetamol and sedative overdosage
Paracetamol and sedative overdosage
 
Compartment syndrome
Compartment syndromeCompartment syndrome
Compartment syndrome
 
Varicocele
VaricoceleVaricocele
Varicocele
 
Spermatocoele
SpermatocoeleSpermatocoele
Spermatocoele
 
Neuro fibroma
Neuro fibromaNeuro fibroma
Neuro fibroma
 
Hydrocele
HydroceleHydrocele
Hydrocele
 
Fibroadenoma
FibroadenomaFibroadenoma
Fibroadenoma
 
Dermoid cyst
Dermoid cystDermoid cyst
Dermoid cyst
 
Lipoma
LipomaLipoma
Lipoma
 
ABERRATION IN NORMAL DEVELOPMENT AND INVOLUTION
 ABERRATION IN NORMAL DEVELOPMENT AND INVOLUTION ABERRATION IN NORMAL DEVELOPMENT AND INVOLUTION
ABERRATION IN NORMAL DEVELOPMENT AND INVOLUTION
 
Acute limb ischemia
Acute limb ischemiaAcute limb ischemia
Acute limb ischemia
 

Recently uploaded

PERFECT BUT PAINFUL TKR -ROLE OF SYNOVECTOMY.pptx
PERFECT BUT PAINFUL TKR -ROLE OF SYNOVECTOMY.pptxPERFECT BUT PAINFUL TKR -ROLE OF SYNOVECTOMY.pptx
PERFECT BUT PAINFUL TKR -ROLE OF SYNOVECTOMY.pptxdrashraf369
 
April 2024 ONCOLOGY CARTOON by DR KANHU CHARAN PATRO
April 2024 ONCOLOGY CARTOON by  DR KANHU CHARAN PATROApril 2024 ONCOLOGY CARTOON by  DR KANHU CHARAN PATRO
April 2024 ONCOLOGY CARTOON by DR KANHU CHARAN PATROKanhu Charan
 
PULMONARY EDEMA AND ITS MANAGEMENT.pdf
PULMONARY EDEMA AND  ITS  MANAGEMENT.pdfPULMONARY EDEMA AND  ITS  MANAGEMENT.pdf
PULMONARY EDEMA AND ITS MANAGEMENT.pdfDolisha Warbi
 
Radiation Dosimetry Parameters and Isodose Curves.pptx
Radiation Dosimetry Parameters and Isodose Curves.pptxRadiation Dosimetry Parameters and Isodose Curves.pptx
Radiation Dosimetry Parameters and Isodose Curves.pptxDr. Dheeraj Kumar
 
Plant Fibres used as Surgical Dressings PDF.pdf
Plant Fibres used as Surgical Dressings PDF.pdfPlant Fibres used as Surgical Dressings PDF.pdf
Plant Fibres used as Surgical Dressings PDF.pdfDivya Kanojiya
 
PNEUMOTHORAX AND ITS MANAGEMENTS.pdf
PNEUMOTHORAX   AND  ITS  MANAGEMENTS.pdfPNEUMOTHORAX   AND  ITS  MANAGEMENTS.pdf
PNEUMOTHORAX AND ITS MANAGEMENTS.pdfDolisha Warbi
 
Biomechanics- Shoulder Joint!!!!!!!!!!!!
Biomechanics- Shoulder Joint!!!!!!!!!!!!Biomechanics- Shoulder Joint!!!!!!!!!!!!
Biomechanics- Shoulder Joint!!!!!!!!!!!!ibtesaam huma
 
COVID-19 (NOVEL CORONA VIRUS DISEASE PANDEMIC ).pptx
COVID-19  (NOVEL CORONA  VIRUS DISEASE PANDEMIC ).pptxCOVID-19  (NOVEL CORONA  VIRUS DISEASE PANDEMIC ).pptx
COVID-19 (NOVEL CORONA VIRUS DISEASE PANDEMIC ).pptxBibekananda shah
 
Lippincott Microcards_ Microbiology Flash Cards-LWW (2015).pdf
Lippincott Microcards_ Microbiology Flash Cards-LWW (2015).pdfLippincott Microcards_ Microbiology Flash Cards-LWW (2015).pdf
Lippincott Microcards_ Microbiology Flash Cards-LWW (2015).pdfSreeja Cherukuru
 
MedDRA-A-Comprehensive-Guide-to-Standardized-Medical-Terminology.pdf
MedDRA-A-Comprehensive-Guide-to-Standardized-Medical-Terminology.pdfMedDRA-A-Comprehensive-Guide-to-Standardized-Medical-Terminology.pdf
MedDRA-A-Comprehensive-Guide-to-Standardized-Medical-Terminology.pdfSasikiranMarri
 
Apiculture Chapter 1. Introduction 2.ppt
Apiculture Chapter 1. Introduction 2.pptApiculture Chapter 1. Introduction 2.ppt
Apiculture Chapter 1. Introduction 2.pptkedirjemalharun
 
LESSON PLAN ON fever.pdf child health nursing
LESSON PLAN ON fever.pdf child health nursingLESSON PLAN ON fever.pdf child health nursing
LESSON PLAN ON fever.pdf child health nursingSakthi Kathiravan
 
medico legal aspects of wound - forensic medicine
medico legal aspects of wound - forensic medicinemedico legal aspects of wound - forensic medicine
medico legal aspects of wound - forensic medicinethanaram patel
 
Culture and Health Disorders Social change.pptx
Culture and Health Disorders Social change.pptxCulture and Health Disorders Social change.pptx
Culture and Health Disorders Social change.pptxDr. Dheeraj Kumar
 
Basic principles involved in the traditional systems of medicine PDF.pdf
Basic principles involved in the traditional systems of medicine PDF.pdfBasic principles involved in the traditional systems of medicine PDF.pdf
Basic principles involved in the traditional systems of medicine PDF.pdfDivya Kanojiya
 
Study on the Impact of FOCUS-PDCA Management Model on the Disinfection Qualit...
Study on the Impact of FOCUS-PDCA Management Model on the Disinfection Qualit...Study on the Impact of FOCUS-PDCA Management Model on the Disinfection Qualit...
Study on the Impact of FOCUS-PDCA Management Model on the Disinfection Qualit...MehranMouzam
 
Music Therapy's Impact in Palliative Care| IAPCON2024| Dr. Tara Rajendran
Music Therapy's Impact in Palliative Care| IAPCON2024| Dr. Tara RajendranMusic Therapy's Impact in Palliative Care| IAPCON2024| Dr. Tara Rajendran
Music Therapy's Impact in Palliative Care| IAPCON2024| Dr. Tara RajendranTara Rajendran
 
Hematology and Immunology - Leukocytes Functions
Hematology and Immunology - Leukocytes FunctionsHematology and Immunology - Leukocytes Functions
Hematology and Immunology - Leukocytes FunctionsMedicoseAcademics
 
PHYSIOTHERAPY IN HEART TRANSPLANTATION..
PHYSIOTHERAPY IN HEART TRANSPLANTATION..PHYSIOTHERAPY IN HEART TRANSPLANTATION..
PHYSIOTHERAPY IN HEART TRANSPLANTATION..AneriPatwari
 
L1.INTRODUCTION to ENDOCRINOLOGY MEDICINE.pptx
L1.INTRODUCTION to ENDOCRINOLOGY MEDICINE.pptxL1.INTRODUCTION to ENDOCRINOLOGY MEDICINE.pptx
L1.INTRODUCTION to ENDOCRINOLOGY MEDICINE.pptxDr Bilal Natiq
 

Recently uploaded (20)

PERFECT BUT PAINFUL TKR -ROLE OF SYNOVECTOMY.pptx
PERFECT BUT PAINFUL TKR -ROLE OF SYNOVECTOMY.pptxPERFECT BUT PAINFUL TKR -ROLE OF SYNOVECTOMY.pptx
PERFECT BUT PAINFUL TKR -ROLE OF SYNOVECTOMY.pptx
 
April 2024 ONCOLOGY CARTOON by DR KANHU CHARAN PATRO
April 2024 ONCOLOGY CARTOON by  DR KANHU CHARAN PATROApril 2024 ONCOLOGY CARTOON by  DR KANHU CHARAN PATRO
April 2024 ONCOLOGY CARTOON by DR KANHU CHARAN PATRO
 
PULMONARY EDEMA AND ITS MANAGEMENT.pdf
PULMONARY EDEMA AND  ITS  MANAGEMENT.pdfPULMONARY EDEMA AND  ITS  MANAGEMENT.pdf
PULMONARY EDEMA AND ITS MANAGEMENT.pdf
 
Radiation Dosimetry Parameters and Isodose Curves.pptx
Radiation Dosimetry Parameters and Isodose Curves.pptxRadiation Dosimetry Parameters and Isodose Curves.pptx
Radiation Dosimetry Parameters and Isodose Curves.pptx
 
Plant Fibres used as Surgical Dressings PDF.pdf
Plant Fibres used as Surgical Dressings PDF.pdfPlant Fibres used as Surgical Dressings PDF.pdf
Plant Fibres used as Surgical Dressings PDF.pdf
 
PNEUMOTHORAX AND ITS MANAGEMENTS.pdf
PNEUMOTHORAX   AND  ITS  MANAGEMENTS.pdfPNEUMOTHORAX   AND  ITS  MANAGEMENTS.pdf
PNEUMOTHORAX AND ITS MANAGEMENTS.pdf
 
Biomechanics- Shoulder Joint!!!!!!!!!!!!
Biomechanics- Shoulder Joint!!!!!!!!!!!!Biomechanics- Shoulder Joint!!!!!!!!!!!!
Biomechanics- Shoulder Joint!!!!!!!!!!!!
 
COVID-19 (NOVEL CORONA VIRUS DISEASE PANDEMIC ).pptx
COVID-19  (NOVEL CORONA  VIRUS DISEASE PANDEMIC ).pptxCOVID-19  (NOVEL CORONA  VIRUS DISEASE PANDEMIC ).pptx
COVID-19 (NOVEL CORONA VIRUS DISEASE PANDEMIC ).pptx
 
Lippincott Microcards_ Microbiology Flash Cards-LWW (2015).pdf
Lippincott Microcards_ Microbiology Flash Cards-LWW (2015).pdfLippincott Microcards_ Microbiology Flash Cards-LWW (2015).pdf
Lippincott Microcards_ Microbiology Flash Cards-LWW (2015).pdf
 
MedDRA-A-Comprehensive-Guide-to-Standardized-Medical-Terminology.pdf
MedDRA-A-Comprehensive-Guide-to-Standardized-Medical-Terminology.pdfMedDRA-A-Comprehensive-Guide-to-Standardized-Medical-Terminology.pdf
MedDRA-A-Comprehensive-Guide-to-Standardized-Medical-Terminology.pdf
 
Apiculture Chapter 1. Introduction 2.ppt
Apiculture Chapter 1. Introduction 2.pptApiculture Chapter 1. Introduction 2.ppt
Apiculture Chapter 1. Introduction 2.ppt
 
LESSON PLAN ON fever.pdf child health nursing
LESSON PLAN ON fever.pdf child health nursingLESSON PLAN ON fever.pdf child health nursing
LESSON PLAN ON fever.pdf child health nursing
 
medico legal aspects of wound - forensic medicine
medico legal aspects of wound - forensic medicinemedico legal aspects of wound - forensic medicine
medico legal aspects of wound - forensic medicine
 
Culture and Health Disorders Social change.pptx
Culture and Health Disorders Social change.pptxCulture and Health Disorders Social change.pptx
Culture and Health Disorders Social change.pptx
 
Basic principles involved in the traditional systems of medicine PDF.pdf
Basic principles involved in the traditional systems of medicine PDF.pdfBasic principles involved in the traditional systems of medicine PDF.pdf
Basic principles involved in the traditional systems of medicine PDF.pdf
 
Study on the Impact of FOCUS-PDCA Management Model on the Disinfection Qualit...
Study on the Impact of FOCUS-PDCA Management Model on the Disinfection Qualit...Study on the Impact of FOCUS-PDCA Management Model on the Disinfection Qualit...
Study on the Impact of FOCUS-PDCA Management Model on the Disinfection Qualit...
 
Music Therapy's Impact in Palliative Care| IAPCON2024| Dr. Tara Rajendran
Music Therapy's Impact in Palliative Care| IAPCON2024| Dr. Tara RajendranMusic Therapy's Impact in Palliative Care| IAPCON2024| Dr. Tara Rajendran
Music Therapy's Impact in Palliative Care| IAPCON2024| Dr. Tara Rajendran
 
Hematology and Immunology - Leukocytes Functions
Hematology and Immunology - Leukocytes FunctionsHematology and Immunology - Leukocytes Functions
Hematology and Immunology - Leukocytes Functions
 
PHYSIOTHERAPY IN HEART TRANSPLANTATION..
PHYSIOTHERAPY IN HEART TRANSPLANTATION..PHYSIOTHERAPY IN HEART TRANSPLANTATION..
PHYSIOTHERAPY IN HEART TRANSPLANTATION..
 
L1.INTRODUCTION to ENDOCRINOLOGY MEDICINE.pptx
L1.INTRODUCTION to ENDOCRINOLOGY MEDICINE.pptxL1.INTRODUCTION to ENDOCRINOLOGY MEDICINE.pptx
L1.INTRODUCTION to ENDOCRINOLOGY MEDICINE.pptx
 

Jaundice

  • 1.
  • 2.  YELLOWISH DISCOLOURATION OF TISSUE RESULTING FROM THE DEPOSITION OF BILIRUBIN  DEGREE OF SERUM BILIRUBIN ELEVATION CAN BE ESTIMATED BY PHYSICAL EXAMINATION
  • 3. CAUSES  ISOLATED HYPERBILIRUBINEMIA  HEPATOCELLULAR CONDITIONS  CHOLESTATIC CONDITIONS
  • 4. CAUSES OF ISOLATED HYPER BILIRUBINEMIA  INDIRECT *HEMOLYTIC DISORDERS 1.INHERITED-SPHEROCYTOSIS,ELLIPTOCYTOSIS SICKLE CELL ANEMIA 2.ACQUIRED-MICROANGIOPATHIC HEMOLYTIC ANEMIA,PNH *DRUGS-PIFAMPICIN,PROBENECID,RIBAVIRIN
  • 5. *INHERITED CONDITION-CRIGGLER NAJJAR GILBERTS SYND DIRECT *INHERITED-DUBIN JOHNSONS SYND ROTORS SYND
  • 6. HEPATOCELLULAR  VIRAL HEPATITIS  EBSTEIN BAR VIRUS  ALCOHOL  DRUG TOXICITY-ACETAMINOPHEN,ISONIAZID  ENV.TOXINS-VINYL CHLORIDE,WILD MUSHROOM(AMANITA PHALLOIDES)  WILSONS DISEASE
  • 7. CHOLESTATIC CONDITIONS  INTRAHEPATIC A.VIRAL HEPATITIS B.ALC HEPATITIS C.PRIMARY BILIARY CIRRHOSIS D.PARANEOPLASTIC SYNDROME E.GVH F.INFILTATIVE DISEASE-TB,LYMPHOMA,AMYLOID
  • 8.  EXTRAHEPATIC A.MALIGNANT-CHOLANGIOCARCINOMA PANCREATIC CANCER GALLBLADDER CANCER B.BENIGN -C/C PANCREATITIS CHOLEDOCHOLITHIASIS AIDS CHOLANGIOPATHY
  • 9. HISTORY  EXPOSURE TO ANY CHEMICAL OR MEDICATION  PARENTERAL EXPOSURES INCLUDING TRANSFUSION  RECENT TRAVEL HISTORY  EXPOSURE TO PATIENTS  EXPOSURE TO HEPATOTOXINS
  • 10.  ALCOHOL CONSUMPTION  HISTORY SHOULD INCLUDE  DURATION OF JAUNDICE  ASSOCIATED SYMPTOMS  ARTHRALGIA,MYALGIA  RASH,ANOREXIA
  • 11.  WEIGHT LOSS  ABDOMINAL PAIN  FEVER,PRURITUS  CHANGES IN URINE&STOOL
  • 12. PHYSICAL EXAMINATION  COLLAGENOUS TISSUE HAS GREATER AFFINITY FOR BILIRUBIN  SCLERA,PALMAR APONEUROSIS,NAIL BEDS,UNDER ASPECT OF TONGUE  PT SHOULD BE EXAMINED IN BRIGHT DAY LIGHT
  • 13.  ITS PRESENCE IS AN INDICATION FOR FURTHER CLINICAL EXAMINATION
  • 14. PHYSICAL EXAMINATION  ASSESSMENT OF PATIENTS NUTRITIONAL STATUS  TEMORAL&PROXIMAL MUSCLE WASTING SUGGEST – PANCREATIC CANCER OR CIRRHOSIS  STIGMATA OF CHRONIC LIVER DISEASES  SPIDER NEVI-VASCULAR DILATATIONS
  • 15.  PALMAR ERYTHEMA-PALMS ARE ERYTHEMATOUS & WARM DUE TO VASODILATATION  IMPOTENCE  GYNAECOMASTIA  DUPYTRENS CONTRACTURE  CAPUT MEDUSAE  TESTICULAR ATROPHY
  • 16.  ENLARGED LEFT SUPRACLAVICULAR NODE- VIRCHOWS NODE  PERIUMBILICAL NODULE-SISTER MARY JOSEPHS NODULE  BOTH SUGGEST ABDOMINAL MALIGNANCY  CLUBBING OF FINGERS-COMMON IN CIRRHOSIS
  • 17. ABDOMINAL EXAMINATION  SHOULD FOCUS ON SIZE AND CONSISTENCY OF LIVER  WHETHER SPLEEN IS PALPABLE  ASCITES PRESENT OR NOT
  • 18.  ENLARGEDLEFT LOBE OF LIVER FELT BELOW THE XIPHOID WITH AN ENLARGED SPLEEN – SUGGEST CIRRHOSIS  ENLARGED TENDER LIVER-VIRAL OR ALCOHOLIC HEPATITIS  GROSSLY ENLARGED NODULAR LIVER- MALIGNANCY
  • 19.  SEVERE RT UPPER QUADRANT TENDERNESS WITH RESPIRATORY ARREST ON INSPIRATION- CHOLECYSTITIS  ASCITES+JAUNDICE-CIRRHOSIS OR MALIGNANCY WITH PERITONEAL SPREAD