The condition termed kernicterus refers to: Group of answer choices deposits of indirect bilirubin in brain cells a yellow colored plasma deposits of indirect bilirubin in liver cells deposits of bilirubin in sclera
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" Kernicterus is a medical condition that occurs due to excessive levels of bilirubin in the blood, leading to bilirubin deposits in the brain. Show more…
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16. Which of the following is measured using glutamate dehydrogenase and is a measure of advanced stages, poor prognosis, and coma in liver disease? a. Total bilirubin b. Ammonia c. Unconjugated bilirubin d. Urea 17. In which of the following disease states would you see an elevation in total bilirubin and conjugated bilirubin only? a. Biliary obstruction b. Hemolysis c. Neonatal jaundice d. Gilbert's disease 18. As a reduction product of bilirubin catabolism, this compound is partially reabsorbed from the intestines through the portal circulation for reexcretion by the liver. What is this compound? a. Urobilinogen b. Azobilirubin c. Biliverdin d. Urobilin e. Bilirubin
Adi S.
A 45-year-old woman is brought to the emergency department by a neighbor because of confusion and disorientation for 1 day. She has a sweet and sour body odor. She appears drowsy. Physical examination shows jaundice, spider angiomata, hepatomegaly, and flapping tremors of the extremities. Laboratory studies show a prolonged prothrombin time, anemia, hyperbilirubinemia, hyperammonemia, and hypoalbuminemia. Test of the stool for occult blood is positive. Which of the following mechanisms is the most likely cause of the encephalopathy in this patient? A) Decreased concentration of y-aminobutyric acid in the central nervous system B) Decreased concentration of glycine in the central nervous system C) Decreased dietary intake of protein D) Excessive bilirubin deposition in the central nervous system E) Shunting of portal venous blood into the systemic circulation
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Jaundice occurs due to the increasing level of (a) $\mathrm{CaCO}_{3}$ (b) $\mathrm{HCO}_{3}$ (c) Bile pigments (d) $\mathrm{CO}_{2}$
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