67. Pathologic pigmentation caused by hematoidin, and bilirubin Flashcards
1
Q
Hematoidin
A
- Brownish pigment
- Old haemorrhages
- Iron free derivate of haem
- Spontaneously formed
2
Q
Bilirubin
A
Yellow-ish brown pigment formed during the breakdown of heme
- Bile pigment
- Biliverdin: Oxidised
3
Q
Jaundice/Icterus
A
- Bilrubin in the tissues
- Staining the tissues yellow : Conjunctiva, sclera, intima of blood vessels
- Bird liver: Green (Biliverdin)
4
Q
Jaundice / icterus –> Staining
A
Forsgren (Reddish blue)
5
Q
3 types of jaundice/icterus:
A
Hepatic, , Prehepatic, Posthepatic
6
Q
Posthepatic jaundice
A
Obstruction of bile duct
BrII can be found in the blood and urine
7
Q
Prehepatic jaundice
A
- Br-I : in blood
- Intensive haemolysis
8
Q
Hepatic icterus
A
Toxic or retention
- Bilirubin I & II in the blood
- In the urine: Br-II & UBG
- Associated with liver damage, and necrosis of
hepatocytes
9
Q
Example of what could lead to posthepatic icterus
A
Cholelithiasis
Pancreatitis
Neiplasia