The Language of Medicine
The Language of Medicine
10th Edition
ISBN: 9781455728466
Author: Chabner, Davi-Ellen
Publisher: Elsevier Science Health Science div
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Chapter 6, Problem 1CRPA
Summary Introduction

Introduction: Jaundice is the yellow discoloration of the skin and other body parts. Jaundice forms when there is excess of bilirubin present in our body. Jaundice usually indicates a problem with the bile duct or liver.

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Answer to Problem 1CRPA

Correct answer: “Jaundice is caused by the bile duct obstruction”.

Hence, the correct answer is option c.

Explanation of Solution

Reason for the correct answer:

As given in the case report, a 62-year-old man went to an emergency department. He had problems of weight loss, fatigue, anorexia and jaundice. Diagnostic studies were conducted using abdominal CT, EUS and ERCP.

Yellow color pigments formed during the breakdown of RBCs are called as bilirubin. Normal level of bilirubin in blood ranges from 0.2-1.2 mg/dl.

Production of bilirubin in blood through the breakdown of RBCs is important for the removal waste products formed by the destruction of RBCs. Bilirubin can easily build-up in tissues and fluids of babies and this pigment colors their skin yellow. This condition is called as jaundice. The serum bilirubin test can be used to determine the cause of jaundice.

Option c. is given as “bile duct obstruction”.

In a patient, jaundice is caused due to the obstruction in the bile duct.

Hence, the correct answer is option c.

Reasons for the incorrect answers:

Option a. is given as “excessive hemolysis”.

Hemolysis is the lysis of the RBC and release of the contents into the plasma. Jaundice is not caused due to the excessive hemolysis.

Hence, option a. is incorrect.

Option b. is given as “viral hepatitis”.

Viral hepatitis is the inflammation in liver due to the viral infection. Jaundice is not caused due to the viral hepatitis.

Hence, option b. is incorrect.

Option d. is given as “cholelithiasis”.

The medical term used for the gallstone disease is cholelithiasis. Jaundice is not caused due to cholelithiasis.

Hence, option d. is incorrect.

Hence, options a., b., and d. are incorrect.

Conclusion: Jaundice is associated with the liver function, and it is caused due to the bile duct obstruction.

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