Author Topic: Case (49)  (Read 9516 times)

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Offline Admin

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Case (49)
« on: January 24, 2009, 09:14:30 PM »
What is the differential diagnosis of unilateral jaundice?
What is the mechanism of each?

Thnx


"you never cure a patient, you treat pain often but you always comfort the patient."
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Offline dr-awale

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Re: Case (49)
« Reply #1 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.

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Offline Admin

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Re: Case (49)
« Reply #2 on: January 25, 2009, 12:22:53 PM »
Well done

What is the mechanism in case of hemiplegia?
"you never cure a patient, you treat pain often but you always comfort the patient."
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Offline Rayaan2

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Re: Case (49)
« Reply #3 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

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Re: Case (49)
« Reply #4 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?
"you never cure a patient, you treat pain often but you always comfort the patient."
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Offline Dr.abtidon

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Re: Case (49)
« Reply #5 on: September 24, 2009, 10:29:15 AM »
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

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Re: Case (49)
« Reply #6 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
"you never cure a patient, you treat pain often but you always comfort the patient."
www.somalidoc.com


 

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