1.
JAUNDICE

2.
Cyanosis occur when deoxy HB
exceed ……. in Capillary blood
 a. 8 gm /dl
 b. 2 gm/dl
 c. 5 gm /dl
 d. 3 gm /dl

3.
In peripheral cyanosis which is
true
 a. extremeties are cold
 b. tongue is involved
 c. arterial oxygen saturation is normal
 d. improve with warming
 E. improve by oxygen supplementation

4.
In central cyanosis which is true
 a. clubbing may be present
 b. tongue is involved
 c. arterial oxygen saturation is normal
 d. improve with warming
 E. may improve by oxygen
supplementation

5.
Jaundice = Icterus

6.
Definition
 Yellowish discoloration of skin,
Mucous membranes due to increased
level of bilirubin more than 2.5 mg/dl
 Bilirubin > 2.5 mg/ dl

7.
 Normal bilirubin is less than 1-1.3 mg
/dl
 Levels between 1-2.5 mg/dl is
considered sub clinical (sub-icteric)

8.
Site of examination
 Sclera (lower fornix) and soft palate

9.
Bilirubin metabolism

10.
Hemolytic Jaundice

11.
Hemolytic jaundice
 Lemon yellow
 Pallor
 Normal urine- acholuric (darken on
standing)
 Dark stool

12.
Hepatocellualr jaundice

13.
Hepatocellualr jaundice
Orange yellow
Manifestations of Hepatocellular
failure, Cirrhosis
Dark urine
Clay stool

14.
Obstructive Jaundice

15.
Obstructive Jaundice
• Olive green (deep)
• Itching
• Frothy Dark urine
• Clay stool
• Steatorhea

16.
Unilateral jaundice

17.
DD Of jaundice
 Racial in Negros
 Atebrin
 Hypercarotimemia (not in sclera)
 Picric acid toxicity
 Uremia
 Xanthomatosis

18.
Hypercarotenaemia (not in sclera)

19.
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