Page 263 - 2021 IDMT Digital
P. 263
JAUNDICE
Introduction:
• -DXQGLFH LV D V\PSWRP RI OLYHU DQG ELOLDU\ WUDFW GLVRUGHUV WKDW FDXVHV \HOORZLQJ RI WKH
VNLQ DQG H\HV
• 5HVXOWV IURP DFFXPXODWLRQ RI ELOLUXELQ LQ ERG\ WLVVXHV
o %LOLUXELQ D SURGXFW RI KHPH PHWDEROLVP
• (WLRORJ\ PD\ EH QRQ KHSDWLF RU KHSDWLF
o 8QFRQMXJDWHG K\SHUELOLUXELQHPLD
2YHUSURGXFWLRQ GXH WR KHPRO\VLV LPSDLUHG KHSDWLF XSWDNH LPSDLUHG
FRQMXJDWLRQ
o &RQMXJDWHG K\SHUELOLUXELQHPLD
,PSDLUHG H[FUHWLRQ IURP OLYHU RU IURP ELOLDU\ REVWUXFWLRQ
Subjective:
• 6LJQV DQG 6\PSWRPV
o 8QFRQMXJDWHG PLOG MDXQGLFH
o &RQMXJDWHG PD\ EH DV\PSWRPDWLF RU KDYH SRVVLEOH 584 GLVFRPIRUW OLJKW
FRORUHG VWRROV GDUN XULQH MDXQGLFH
o ,I VHYHUH KHSDWRFHOOXODU GLVHDVH
0DODLVH
$QRUH[LD
584 GLVFRPIRUW
1DXVHD YRPLWLQJ
:HLJKW ORVV
Objective:
• 3K\VLFDO ([DP
o 8QFRQMXJDWHG YDULDEOH DFFRUGLQJ WR GLVHDVH SURFHVV EXW SRVVLEOH VSOHQRPHJDO\
LI KHPRO\WLF GLVRUGHU e.g., VLFNOH FHOO GLVHDVH * 3' GHILFLHQF\
o &RQMXJDWHG YDULDEOH DFFRUGLQJ WR GLVHDVH SURFHVV EXW SRVVLEOH HQODUJHG WHQGHU
OLYHU
o ,I VHYHUH YDVFXODU VSLGHUV SDOPDU HU\WKHPD DVFLWHV
• 7RROV
o /DEV LQFUHDVHd OLYHU associated HQ]\PHV $67 $/7 LQFUHDVHd VHUXP XULQH ELOLUXELQ
o ,PDJLQJ PD\ EH QHHGHG IRU GLDJQRVLV 86 &7 RU 05,
Assessment:
• 'LIIHUHQWLDO UHODWHG WR SRVVLEOH HWLRORJ\
o $FXWH viral KHSDWLWLV LQIHFWLRQ ZLWK hHSDWLWLV $ % & ' ( XVXDOO\ SUHVHQWV ZLWK
MDXQGLFH DQG YLUDO W\SH V\PSWRPV PDODLVH P\DOJLDV QDXVHD YRPLWLQJ
o &KROHOLWKLDVLV JDOOVWRQHV WKDW DUH IUHTXHQWO\ DV\PSWRPDWLF DQG GHWHFWHG ZLWK
XOWUDVRXQG PD\ KDYH ELOLDU\ SDLQ LQ 584 ZLWK UDGLDWLRQ WR WKH VFDSXOD
o $FXWH FKROHF\VWLWLV VWHDG\ VXGGHQ VHYHUH SDLQ LQ 584 ZLWK QDXVHD DQG
YRPLWLQJ H[DP XVXDOO\ KDV D SRVLWLYH 0XUSK\'s VLJQ DQG SRVLWLYH SHULWRQHDO VLJQV
o $FXWH SDQFUHDWLWLV DEUXSW RQVHW RI GHHS HSLJDVWULF SDLQ RIWHQ ZLWK UDGLDWLRQ WR WKH
EDFN ODEV ZLOO VKRZ HOHYDWHG SDQFUHDWLF HQ]\PHV
[ 262 ]

