ftp.

atobilliary
Diseases
 Question

①
livoeoeirrhosis Lunged
④ Portal hypertension laughs
Gough)
①
Hepatic
coma
/ Eeueephatopathy .

④ Hematomas's
chugs)
② Ase itis coughs .

)
Acute viral hepatitis Cough
.

r
-

✓ Coast
( pagezi-D.es)
-
?⃝
 →aundic# : Yellow discolouration of skin mucous sclera
conjunctiva due to raised bilirubin
-
mem
serum
.
.
, , ,

Jaundice bilirubin conjugated

yellow / deep
-

Greenish yellow
-

① Obstructive
-

obilinogeu present
-

Retention of bile salt → Power itis and itching .

we

Urine Dark coloured

present
- -

clay coloured Stereo bi line

uneoneywgafed
stool -

→
-

stone
due to
-
severe colicky pain →

palpable ifs_e pIÉÉma Store obilin absent

conjugated →
or
wall bladder
.
-

-
.

puis-a.at Bradycardia absent

uocobilinogeu
- -

,
-
Fevers with
rigor ,
chills →
cholangitis

hep-ali"÷
-isgmeoign-any.io
÷*
Hepatocellular associated with
hepatomegaly
-

-
tender -

Urine dark
.
but stool not day
see " . s+••"""
a.si#-aw-i.ansamin.ase
-

. .
:*

Hemolytic
-

- Dank stool and urine

:S
-

-
¥I¥É;Ém
BiÉpiÉeti ^f
due to anaemia
splenomegaly
.

and →
Hepato
-

heavy metal , drugs

History of tweentake of Oye sickened
.

- -

Ute ,
-
,
ab
-
,

- Bilirubin -
inn conjugated .

I ←
88 .

= - -

E-
⑦→ omlyobstr-ut.ie
¥00
FEE
F- •
•
f-

•
•
•

-
⇐
?⃝
Hepatic coma mental and
neurological features
.

reversible
intermittent and
-

Chronic

Precipitating Factor
% Sedative
-
diet
nigh protein
-
-

Infection
Trauma ,
surgery
.

Shunt
surgery .

As cite fluid
of
-

amount
Removal of Large
GI
bleeding .

Clinical features % taek of concentration mania, bizzare

-
behavioural
,

reduce alter ness change ,

disturbance ins sleep rhythm
,

Mental
.
-

handwriting ,

stomatitis
Ccneilosis angular
•
Malnutrition multivitamin
, deficiency .

Jaundice
( Methyl meeecaptansj mucosal
•

Fetor hepatica
echymosis due to vitkt)
bleeding ,
•

petechia
,
disorder C. ,
•

coagulopathy stretched hand .

Flapping Trey
• on
•

portal hypertension loss of

cirrhosis and
.

hair
•
sign of and axillary
Endocardial feature oeynaecomastia pubic ,

pupillary charge
-

spasticity of
• .

limbs ,

Neurological For mof leucopenia

chorea
•
-
,

Anaemia pancytopeuia,
,
•

fever tachycardia hypotension

.

•
, ,
Investigation of
B
Hp
①→oeume BilirubinE)
-

chokestasis
hepatic
.

intra
⑨ conjugated hypeeebilirubinuria
→

⑨ SWOT Goop -19J

,

Plasma Albumin(1)
④ absent
but bile salt and pigment
.

bile
① ltrine contain weobilinogen
① Test
serological
.

anti Abc
→ HbeAg
Anti Abs → IgM Indicates
Hbs
Ag in serum →
(recovery .

(
Acute heft B) ( aesive viral
( first
evidence of ) infectivity replication )
Infecting
non
and
Infection immunity) beyond
persist (g. motu
B)
'

or
• months
Heft
-

chronic

LFT -1

Boo IU