| Introduction
Case
1: Dysuria
Case
2: Flu
Case
3: Edema
Case
4: Puffy eyes
Case
5: Hematuria
Case
6: Flank pain
Case
7: Jaundice
Case
8: Fever & pain
Leftovers
Sources
of Error
Quiz
Please |
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Mr.
GS has an impacted gallstone.
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History and physical
fits.
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Large amount of bilirubin
in the urine.
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Absent urinary urobilinogen.
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With obstruction, no
bile gets to the gut.
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Normally, there is bacterial
breakdown of the bilirubin into urobilinogen.
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Normally, urobilinogen
(colorless) is reabsorbed.
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Normally, urobilinogen
is cleared in the urine.
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Without a functional hepato-billiary-GI
circuit, there can be no urobilinogen in the urine (think about it).
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He needs help getting rid of
this stone.
|
 |
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Bad outcomes could include sepsis,
pancreatitis, on and on.
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Want to see
the stone?
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Glad we got that figured
out before anything bad happened. What's next?
Back |