KROK 1 2013 – Question 44 · KROK (Medicine) · Biological Chemistry
A patient with jaundice has high total bilirubin that is mainly indirect (unconjugated), high concentration of stercobilin in the stool and urine. The level of direct (conjugated) bilirubin in the blood plasma is normal. What kind of jaundice can you think of?
- A. Parenchymal (hepatic)
- B. Hemolytic
- C. Neonatal jaundice
- D. Mechanical
- E. Gilbert’s disease
Hint
Work out at which step of the bilirubin pathway the excess arises, and use the stool pigment and the normal conjugated fraction to judge whether the liver and bile ducts are coping.
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