Jaundice Dr.

Ahmad Mowafy

Jaundice
bilirubin

bilirubin RBCs hemoglobin heme hemolysis of RBCs heme hemoglobin bilirubin unconjugated bilirubin

bilirubin haem bilirubin

kidney kidney kidney liver kidney

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liver

Jaundice Dr. Ahmad Mowafy unconjugated bilirubin liver liver Liver unconjugated bilirubin Unconjugated bilirubin receptors unconjugated bilirubin uptake Liver unconjugated bilirubin unconjugated Liver conjugated bilirubin Liver Liver

Y & Z receptors

Liver Liver

conjugation conjugated

Urine secretion intestine stercobilinogen conjugated bilirubin bile bile intestine

intestine stool brown stercobilinogen Liver Liver Liver Liver entero-hepatic circulation More conjugation Inhibition Kidney kidney stercobilinogen urine urobilinogen Urine stercobilin

urine urobilinogen

stercobilinogen jaundice

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Jaundice Dr. Ahmad Mowafy

jaundice
Hemolytic jaundice hemolysis hemoglobin RBCs unconjugated bilirubin uptake Liver Liver bilirubin urobilinogen stercobilin bilirubin stercobilinogen stercobilin urobilinogen

Kidney conjugated Uptake stercobilinogen unconjugated bilirubin intestine

severe hemolytic jaundice Liver hemolysis

hemolytic jaundice bilirubin

hemolysis

bilirubin bilirubin urobilinogen stercobilinogen Urine jaundice urine urine stool stool

stercobilin

stercobilin stool

stool

Urine

stool Obstructive jaundice

Jaundice hemolytic jaundice Hepato-cellular jaundice

bile normal urine unconjugated urine

obstructive jaundice Obstruction obstruction conjugated bilirubin secretion Liver conjugated bilirubin Obstructive conjugated bilirubin conjugated bilirubin Urine conjugated bilirubin

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Jaundice Dr. Ahmad Mowafy Intestine urobilinogen stercobilinogen stool obstructive stercobilin stercobilinogen obstructive jaundice urine conjugated bilirubin urobilinogen stercobilinogen bilirubin bile bile salts bradycardia itching bile salts prostaglandins itching intestine bile cholesterol alkaline phosphatase biliary cirrhosis Liver liver cirrhosis bile salts Long standing obstructive jaundice Hepatocellular jaundice Hemolytic jaundice Obstructive jaundice

unknown cholesterol

Itching vitamins jaundice

Liver

Unconjugated excretion

unconjugated bilirubin conjugated Unconjugated uptake Liver Uptake Unconjugated bilirubin liver conjugation conjugation hepatocyte excretion conjugated bilirubin excretion uptake Unconjugated excretion bile conjugated conjugated liver

stercobilinogen

hemolytic obstructive urobilinogen

conjugated bilirubin urobilinogen stercobilin xxxxxxxxxxxx stercobilinogen urobilinogen Hepatocellular jaundice urobilinogen stercobilinogen Urobilinogen hemolytic obstructive stercobilinogen Hepatocellular

intestine

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Jaundice Dr. Ahmad Mowafy

stercobilin

intestine stercobilinogen stercobilin stool Entero hepatic circulation urobilinogen kidney stool stercobilinogen Hepatocellular jaundice Liver Liver excretion Hepatocellular jaundice urobilinogen urobilinogen stercobilin

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