FS18 Case Studies for Unit 5.pdf

The patient with the gallstone blocking the common

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25. The patient with the gallstone blocking the common bile duct has developed jaundice – yellowing of the eyes and skin due to excessive bile pigments in blood. Which kind of jaundice would be occurring in this patient with common bile duct blockage? ______________ (Resources: Challenge Question #12 on page A-99 and the Answer to Challenge Question #12 on page A-102) Imagine another patient with hemolytic jaundice due to an autoimmune disease which has caused rupture of red blood cells. Which kind of jaundice is occurring in this patient (or what is the other name for this jaundice)? ________________ (Resources: Challenge Question #12 on page A-99 and the Answer to Challenge Question #12 on page A-103) A) hepatic jaundice, prehepatic jaundice B) prehepatic jaundice, prehepatic jaundice C) posthepatic jaundice, hepatic jaundice D) hepatic jaundice, hepatic jaundice E) posthepatic jaundice, prehepatic jaundice Fourth Case Olive is a 68 year old homeless woman who lives on the streets of your large city. She has often come to the emergency room for treatment of many ailments. As an emergency room physician you have seen Olive many times over decades and each time you have seen her you noticed she had been heavily drinking alcohol. She now has been diagnosed with cirrhosis of the liver (a disease of the liver in which liver tissue is replaced by fibrous tissue and the liver is unable to perform its normal functions). Olive has developed jaundice. 26. What kind of jaundice does Olive have? (Note: this is not meant to be a difficult question but, with the other questions, is to help you understand different ways that jaundice can occur). (Resources: Challenge Question #12 on page A-99 and the Answer to Challenge Question #12 on page A-103) Years have passed and Olive is still drinking excessive alcohol and is now in liver failure, that is, her liver is failing as an organ (she has lost 80-90% of liver function). 27. If Olive’s liver is unable to perform normal functions, which of the following would likely be decreased compared to normal? 28. If Olive’s liver is unable to perform normal functions, which of the following would likely be decreased? (Resources: page 221 of the Course Pack)
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