{"id":909,"date":"2020-05-15T12:32:42","date_gmt":"2020-05-15T19:32:42","guid":{"rendered":"https:\/\/up.physicaldiagnosispdx.com\/up\/?page_id=909"},"modified":"2021-12-21T12:12:27","modified_gmt":"2021-12-21T20:12:27","slug":"cirrhosis","status":"publish","type":"page","link":"https:\/\/up.physicaldiagnosispdx.com\/up\/gastroentereology-m\/cirrhosis\/","title":{"rendered":"Jaundice"},"content":{"rendered":"<div class=\"wpb-content-wrapper\">[vc_row css=&#8221;.vc_custom_1592017641821{background-color: #fff9f9 !important;}&#8221;][vc_column][vc_column_text]\n<ul>\n<li><span style=\"font-size: 14pt;\">Means yellowing of the skin from elevated bilirubin, either from the destruction of red blood cells in hemolysis or more commonly from liver disease or obstruction of bile ducts.<\/span><\/li>\n<li class=\"textLayer\"><span style=\"font-size: 14pt;\">Not seen until the bilirubin level is about twice the upper limit of normal (2.5-3 mg\/dL).<\/span><\/li>\n<li class=\"textLayer\"><span style=\"font-size: 14pt;\">Best seen in natural light, it\u2019s often better seen in the sclera (whites) of the eyes, where it is known as scleral icterus<\/span><\/li>\n<li class=\"textLayer\"><span style=\"font-size: 14pt;\">Can be seen early under the tongue.<\/span><\/li>\n<\/ul>\n<figure id=\"attachment_1658\" aria-describedby=\"caption-attachment-1658\" style=\"width: 150px\" class=\"wp-caption alignleft\"><a href=\"https:\/\/up.physicaldiagnosispdx.com\/up\/gastroenterology-2\/gastroenterology\/#Jaundice\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-1658 size-thumbnail\" src=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/iconfinder_3_1250308-150x150.png\" alt=\"\" width=\"150\" height=\"150\" srcset=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/iconfinder_3_1250308-150x150.png 150w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/iconfinder_3_1250308-300x300.png 300w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/iconfinder_3_1250308.png 512w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a><figcaption id=\"caption-attachment-1658\" class=\"wp-caption-text\">&nbsp;<\/figcaption><\/figure>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]\n<h1 id=\"patient1\">Patient 1:<\/h1>\n<p><span style=\"font-size: 14pt;\">This is a young woman with Laennec&#8217;s cirrhosis.<\/span><\/p>\n<p><span style=\"font-size: 14pt;\">This patient also has <a href=\"https:\/\/up.physicaldiagnosispdx.com\/up\/gastroenterology-2\/gastroentereology-m\/spider-angioma\/#patient1\" target=\"_blank\" rel=\"noopener noreferrer\">spider angiomas<\/a> and palmar erythema.<\/span><\/p>\n<p><a href=\"https:\/\/www.amazon.com\/Frameworks-Internal-Medicine-Andre-Mansoor\/dp\/1496359305\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-size: 14pt;\">Image courtesy of &#8220;<span id=\"productTitle\" class=\"a-size-extra-large\">Frameworks for Internal Medicine&#8221;<\/span><\/span><\/a>[\/vc_column_text][\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1592017667525{background-color: #dcd9dd !important;}&#8221;][vc_column width=&#8221;1\/4&#8243;][vc_column_text][\/vc_column_text][vc_column_text][\/vc_column_text][\/vc_column][vc_column width=&#8221;3\/4&#8243;][vc_column_text]<div id='gallery-1' class='gallery galleryid-909 gallery-columns-3 gallery-size-medium'><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon portrait'>\n\t\t\t\t<a href='https:\/\/up.physicaldiagnosispdx.com\/up\/gastroenterology_cirrhosis_jaundice_img_3128\/'><img loading=\"lazy\" decoding=\"async\" width=\"225\" height=\"300\" src=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Gastroenterology_Cirrhosis_Jaundice_IMG_3128-225x300.jpg\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Gastroenterology_Cirrhosis_Jaundice_IMG_3128-225x300.jpg 225w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Gastroenterology_Cirrhosis_Jaundice_IMG_3128-768x1024.jpg 768w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Gastroenterology_Cirrhosis_Jaundice_IMG_3128-1152x1536.jpg 1152w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Gastroenterology_Cirrhosis_Jaundice_IMG_3128-scaled.jpg 1920w\" sizes=\"auto, (max-width: 225px) 100vw, 225px\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]\n<h1>Patient 2:<\/h1>\n<p><span style=\"font-size: 14pt;\">This is a young woman with severe alcoholic hepatitis.<\/span><\/p>\n<p>&nbsp;[\/vc_column_text][\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1592017173859{background-color: #dcd9dd !important;}&#8221;][vc_column width=&#8221;1\/4&#8243;][\/vc_column][vc_column width=&#8221;3\/4&#8243;][vc_column_text]<div id='gallery-2' class='gallery galleryid-909 gallery-columns-3 gallery-size-large'><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon portrait'>\n\t\t\t\t<a href='https:\/\/up.physicaldiagnosispdx.com\/up\/img_7455\/'><img loading=\"lazy\" decoding=\"async\" width=\"640\" height=\"853\" src=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_7455-768x1024.jpg\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_7455-768x1024.jpg 768w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_7455-225x300.jpg 225w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_7455-1152x1536.jpg 1152w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_7455-1536x2048.jpg 1536w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon portrait'>\n\t\t\t\t<a href='https:\/\/up.physicaldiagnosispdx.com\/up\/img_7446\/'><img loading=\"lazy\" decoding=\"async\" width=\"640\" height=\"853\" src=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_7446-768x1024.jpg\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_7446-768x1024.jpg 768w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_7446-225x300.jpg 225w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_7446-1152x1536.jpg 1152w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_7446-1536x2048.jpg 1536w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon portrait'>\n\t\t\t\t<a href='https:\/\/up.physicaldiagnosispdx.com\/up\/img_7444\/'><img loading=\"lazy\" decoding=\"async\" width=\"640\" height=\"853\" src=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_7444-768x1024.jpg\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_7444-768x1024.jpg 768w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_7444-225x300.jpg 225w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_7444-1152x1536.jpg 1152w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_7444-1536x2048.jpg 1536w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon portrait'>\n\t\t\t\t<a href='https:\/\/up.physicaldiagnosispdx.com\/up\/img_7442\/'><img loading=\"lazy\" decoding=\"async\" width=\"640\" height=\"853\" src=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_7442-768x1024.jpg\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_7442-768x1024.jpg 768w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_7442-225x300.jpg 225w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_7442-1152x1536.jpg 1152w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_7442-1536x2048.jpg 1536w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon portrait'>\n\t\t\t\t<a href='https:\/\/up.physicaldiagnosispdx.com\/up\/img_7441\/'><img loading=\"lazy\" decoding=\"async\" width=\"640\" height=\"853\" src=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_7441-768x1024.jpg\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_7441-768x1024.jpg 768w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_7441-225x300.jpg 225w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_7441-1152x1536.jpg 1152w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_7441-1536x2048.jpg 1536w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon portrait'>\n\t\t\t\t<a href='https:\/\/up.physicaldiagnosispdx.com\/up\/img_7453\/'><img loading=\"lazy\" decoding=\"async\" width=\"640\" height=\"853\" src=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_7453-768x1024.jpg\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_7453-768x1024.jpg 768w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_7453-225x300.jpg 225w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_7453-1152x1536.jpg 1152w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/IMG_7453-1536x2048.jpg 1536w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n[\/vc_column_text][\/vc_column][\/vc_row]\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row css=&#8221;.vc_custom_1592017641821{background-color: #fff9f9 !important;}&#8221;][vc_column][vc_column_text] Means yellowing of the skin from elevated bilirubin, either from the destruction of red blood cells in hemolysis or more commonly from liver disease or obstruction of bile ducts. Not seen until the bilirubin level is about twice the upper limit of normal (2.5-3 mg\/dL). Best<\/p>\n","protected":false},"author":9,"featured_media":0,"parent":1783,"menu_order":0,"comment_status":"open","ping_status":"closed","template":"page-templates\/page_PDXPDX-full-width.php","meta":{"nf_dc_page":"","_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"class_list":["post-909","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/pages\/909","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/comments?post=909"}],"version-history":[{"count":2,"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/pages\/909\/revisions"}],"predecessor-version":[{"id":10943,"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/pages\/909\/revisions\/10943"}],"up":[{"embeddable":true,"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/pages\/1783"}],"wp:attachment":[{"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/media?parent=909"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}