Liver

Question 0

Gilbert’s syndrome

Answer 0

Reduced activity of glucuronyltransferase - which conjugated bilirubin

Question 1

In Gilbert’s syndrome is the excess bilirubin conjugated or un conjugated?

Answer 1

1. Un conjugated

2. Does not appear in urine

Question 2

Is conjugated bilirubin water soluble?

Answer 2

Yes

Question 3

Clinical measures in child’s classification

Answer 3

1. Total bilirubin: 50 - 3 points
2. Serum albumin: >3.5 - 1point, 2.8-3.5 - 2points, 2.30 - 3points
3. ascites: none - 1point, mild - 2points, moderate to serve - 3points
4. Hepatic encephalopathy: none - 1point, grade 1-2 - 2points, grade 3-4 - 3points