Somali Medical Forums

Medical Student Forums => Problem-Based Learning Center => Topic started by: Admin on January 24, 2009, 09:14:30 PM

Title: Case (49)
Post by: Admin on January 24, 2009, 09:14:30 PM

What is the differential diagnosis of unilateral jaundice?
What is the mechanism of each?

Thnx

Title: Re: Case (49)
Post by: dr-awale on January 25, 2009, 05:47:18 AM

What is unilateral Jaundice?

It is seen :
1) In patients with hemiplegia.
2) In the presence of unilateral oedema.
Paralysed extremely and oedematous areas tend to remain less coloured as good circulation is necessary to stain the tissues.

Title: Re: Case (49)
Post by: Admin on January 25, 2009, 12:22:53 PM

Well done

What is the mechanism in case of hemiplegia?

Title: Re: Case (49)
Post by: Rayaan2 on September 16, 2009, 05:19:20 AM

if i try 2 do my best i would say patient with obstruction of the left hepatic duct and partial obstruction of the right hepatic duct by tumour. Adequate drainage of bile from the right hepatic duct through a T-tube was relatively ineffective in relieving the jaundice. On the other hand, resection of the obstructed left lobe resulted in the disappearance of icterus also hepatic lobectomy my releive The basic mechanism involved in the production of jaundice under these circumstances is incompletely understood

Title: Re: Case (49)
Post by: Admin on September 16, 2009, 12:37:09 PM

Rayaan, welcome to SomaliDoc.

My questions was: what is the mechanism of unilateral jaundice in hemiplegic patient apart from odema?

Title: Re: Case (49)
Post by: Dr.abtidon on September 24, 2009, 10:29:15 AM

Quote from: Dr.Mahdi on September 16, 2009, 12:37:09 PM

Rayaan, welcome to SomaliDoc.

My questions was: what is the mechanism of unilateral jaundice in hemiplegic patient apart from odema?

It is due to asymmetric edema, which probably results from asymmetric vascular tone:
prosthetic eye also causes unilateral jaundice

Title: Re: Case (49)
Post by: Admin on September 26, 2009, 11:52:45 AM

There are several types of unilateral jaundince, such as scleral icterus in a monocular patient, resolving subconjunctival hemorrhage in one eye, asymmetric edema, chroidal hemorrhage and staining of tissues by prolonged use of certain local eye medications, for instance, mercurials, iodides, and proteinated silver preparations.

There will be points-split b/w dr.awale & dr.abtidon.

Thanks
Dr.Mahdi