Podcast
Questions and Answers
Quel est le niveau de bilirubine dans le sang où la jaunisse apparaît généralement ?
Quel est le niveau de bilirubine dans le sang où la jaunisse apparaît généralement ?
- 75 micromol/L
- 50 micromol/L (correct)
- 25 micromol/L
- 10 micromol/L
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Study Notes
- Inspection of patient for presence of jaundice
- Jaundice appears at around 50 micromol/L of total bilirubin in blood
- Higher bilirubin levels lead to more visible jaundice on skin
- Presence of clinical signs of liver failure and portal hypertension indicate chronic liver disease
- Presence of palpable gallbladder indicates obstructive tumor or lithiasic pathology
- Angiome stellaire is a common arterial malformation associated with liver insufficiency but not completely specific
- Analysis of hands is important in patient inspection
- Hippocratisme digital and cyanosis associated with liver cirrhosis and hepato-pulmonary syndrome
- Rétro palmaire, a redness on hands, also associated with liver insufficiency but not completely specific
- Astérix can be searched for during inspection
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