Laboratory photos
Laboratory photos

@lab_phot

6 Tweets 1 reads Dec 27, 2022
Patient has total bilirubin 12 mg/dl.
What the possible causes?
โ— Pre hepatic ( hemolytic anemia).
โ— hepatic ( acute hepatitis ).
โ— post hpatic ( biliary obstruction ).
ู…ุงู‡ูˆ ุงู„ูุญุต ุงูˆ ุงู„ุชุญู„ูŠู„ ุงู„ุฐูŠ ุณุชู‚ูˆู… ุจู‡ ู…ู† ุงุฌู„ ุชูุฑู‚ ุจูŠู† ุงู†ูˆุงุน ุงู„ูŠุฑู‚ุงู†ุŸ
ุงู„ุชุญู„ูŠู„ ู‡ูˆ
Direct bilirubin
ูุณุฑ ุงู„ู†ุชูŠุฌู‡ุŸ
ุงู„ุชูุณูŠุฑ ุณูŠูƒูˆู† ูƒุงู„ุชุงู„ูŠ :
ุงู„ู†ุชูŠุฌู‡ ุงู„ู…ุฑุชูุนู‡ ู„ Direct bilirubin
ุชุฏู„ู„ ุนู„ู‰ ุงู† ู†ูˆุน ุงู„ูŠุฑู‚ุงู† ู‡ูˆ:
โ—hepatic
or
โ— post hepatic
ุฃู…ุง ุงู„ู†ุชูŠุฌู‡ ุงู„ุทุจูŠุนูŠู‡ ู„ู„
Direct bilirubin
ูู‡ูŠ ุชุฏู„ู„ ุนู„ู‰ ุงู„ุญุงู„ู‡
Pre-hepatic
ู„ุฃู† ุงู„ู…ุฑุชูุน ุณูŠูƒูˆู† ู‡ูˆ indirect bilirubin
ุทูŠุจ ุงู„ุณูˆุงู„ ุงู„ุขู† ุงุฐุง ูƒุงู†ุช ุงู„ุญุงู„ู‡
Pre-hepatic
ู…ุงู‡ูŠ ุงุญุชู…ุงู„ุงุช ุฃุณุจุงุจ
Pre-hepatic ?
ุงู„ุฌูˆุงุจ
โ—Hemolytic anemia
โ—Gelbert syndrome
โ—Crigler N syndrome
ูƒูŠู ู†ูุฑู‚ ุจูŠู† ู‡ุฐู‡ ุงู„ุฃุณุจุงุจุŸ
ู†ู‚ูˆู… ุจู‚ูŠุงุณ ุชุญุงู„ูŠู„
Recocyt count and CBC
ูุงุฐุง ูƒุงู†ุช ุงู„ู†ุชูŠุฌู‡ ุทุจูŠุนูŠู‡ ูู‡ุฐุง ูŠุนู†ูŠ ุงู† ุงู„ุญุงู„ู‡
โ—Gelbert syndrome
or
โ—Crigler N syndrome
ูˆู†ุณุชุจุนุฏ ุงู† ุชูƒูˆู† ุงู„ุญุงู„ู‡
Hemolytic anemia
ุงู…ุง ุงุฐุง ูƒุงู†ุช ุงู„ู†ุชูŠุฌู‡ ุบูŠุฑ ุทุจูŠุนูŠู‡ ู‡ุฐุง ูŠุฏู„ู„ ุนู„ู‰ ุงู† ุงู„ุญุงู„ู‡
โ—Hemolytic anemia
ูˆูƒูŠู ู†ูุฑู‚ ู…ุงุจูŠู† ุญุงู„ุชูŠ
Gelbert syndrome and Crigler N syndrome ?
ู†ูุฑู‚ ุจูŠู†ู‡ู…ุง ุจู‚ูŠู…ู‡ ู…ุณุชูˆู‰
indirect bilirubin
ููŠ ุงู„ุฏู….
ูุงุฐุง ูƒุงู† ู…ุณุชูˆู‰ ุงุฑุชูุงุน
indirect bilirubin
ุฃู‚ู„ ู…ู†
5 mg/dl
ู‡ุฐุง ูŠุนู†ูŠ ุงู† ุงู„ุญุงู„ู‡
Gelbert syndrome
ุฃู…ุง ุฅุฐุง ูƒุงู† ู…ุณุชูˆู‰ ู‚ูŠู…ู‡
indirect bilirubin
ุฃุนู„ู‰ ู…ู†
5 mg/dl
ูˆูŠู…ูƒู† ูŠูˆุตู„ ุฅู„ู‰
25 mg/dl
ูู‡ุฐุง ูŠุนู†ูŠ ุฃู† ุงู„ุญุงู„ู‡
Crigler N syndrome.
ุดูƒุฑุงู‹ ู„
Dr.Haidar Almaamari

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