Part 2 sa taas ng mundong ibabaw Flashcards
Formed when there is prolong conjugated of
bilirubin/ bilirubin 2
DELTA BILIRUBIN
DELTA BILIRUBIN
Conjugated bilirubin bounded to __________
ALBUMIN forming
DELTA
DELTA BILIRUBIN
It reacts with ________
DIAZO REAGENT
DELTA BILIRUBIN
Reference value:
<0.2 mg/dL
characterized by yellow
discoloration of the skin, sclera, and mucus membranes.
Hyperbilirubinemia
if the total bilirubin is – 3.0- 5.0mg/dL or higher
YELLOW DISCOLORATION/ visible jaundice
no observable yellow
discoloration
Bilirubin 1.0-1.5 mg/dL
Overt jaundice-
more commonly termed for serum or
plasma with yellow discoloration due to
hyperbilirubinemia.
ICTERUS
Bilirubin increased in the circulation of blood
PRE-HEPATIC JAUNDICE
Hemolytic jaundice, Unconjugated
hyperbilirubinemia
PRE-HEPATIC JAUNDICE
PRE-HEPATIC JAUNDICE
fetus doesn’t have jaundice pagnanganak lng.
Placenta can remove bilirubin.
Hemolytic disease of the newborn
Caused by failure of bile to flow to the intestine or
impaired bilirubin excretion
POST-HEPATIC JAUNDICE
Post-HEPATIC JAUNDICE
Laboratory diagnosis:
Indirect bilirubin
Indirect bilirubin: normal; water insoluble; it
should be conjugated first
Post-HEPATIC JAUNDICE
Laboratory diagnosis:
Direct bilirubin
Direct bilirubin: Increased water soluble
Post-HEPATIC JAUNDICE
Laboratory diagnosis:
Alkaline phosphatase:
Alkaline phosphatase: increased NO.1
MARKER!! BECAUSE IT IS ELEVATED DUE TO
OBSTRUCTION