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JAUNDICE . UNIV VAN PTA Pretoria Academic Hospital GASTROENTEROLOGY Dr Obedy Mwantembe. JAUNDICE. Symptom. Three Causes. Prehepatic Hepatic Post Hepatic. HISTORY. Duration and onset Drug intake/history The Progression Associated Features Pruritus Colour of stool Anaemia.

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JAUNDICE


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jaundice

JAUNDICE

UNIV VAN PTA

Pretoria Academic Hospital

GASTROENTEROLOGY

Dr Obedy Mwantembe

jaundice2
JAUNDICE
  • Symptom
three causes
Three Causes
  • Prehepatic
  • Hepatic
  • Post Hepatic
history
HISTORY
  • Duration and onset
  • Drug intake/history
  • The Progression
  • Associated Features
    • Pruritus
    • Colour of stool
    • Anaemia
physical examination
PHYSICAL EXAMINATION
  • Confirm Jaundice
  • Xanthelasma
  • Scratch Marks
  • Masses – Liver/Spleen
  • Gall Bladder
    • Murphy’s Sign
    • Courvoisier’s Law
    • Courvoisier’s Sign
laboratory
LABORATORY
  • Biochemistry
    • ALP
    • GGT
  • SEROLOGY
    • Anti smooth muscle antibodies
      • Total IgG
    • Anti-mitochondria antibodies
      • Total IgM
gastroenterologist
GASTROENTEROLOGIST
  • SONAR
  • MRCP
  • ERCP
sonar
SONAR
  • Available
  • Cost effective
  • Not invasive
  • Observer/ operator dependent
sonar9
SONAR
  • Masses
  • Fluids / Mixed fluids
  • OBSTRUCTION
    • Dilated Ducts
slide11
ERCP
  • Endoscopic Retrograde Cholangio-pancreatography
    • Diagnostic
    • Therapeutic
slide12
ERCP
  • Sphincterotomy
    • FBC/INR
  • Stone Extraction
  • Stenting
    • Obstructive jaundice
    • Pancreatitis
  • Cyst Drainage
drainage
DRAINAGE
  • After attempted Stenting
  • PTC
percutaneous
PERCUTANEOUS
  • Percutaneous Transhepatic Cholangiography
welcome to the department
WELCOME TO THE DEPARTMENT
  • EVERY DAY
  • Mornings