KROK 1 2007 – Question 59 · KROK (Medicine) · Pathophysiology

A 48 y.o. patient was admitted to the hospital with complaints about weakness, irritability, sleep disturbance. Objectively: skin and scleras are yellow. In blood: conjugated bilirubin, cholalemia. Feces are acholic. Urine is of dark colour (bilirubin). What jaundice is it?

  1. A. Mechanic
  2. B. Hemolytic
  3. C. Crigler-Najjar syndrome
  4. D. Gilbert’s syndrome
  5. E. Parenchymatous
Hint

Pale stool and bilirubin in the urine show that conjugated pigment reaches the blood but not the gut; think about which block in the bile pathway causes this.

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