If you find the material on this website useful, you will find that the two books ACES for PACES and KEYS to SUCCESS in Medicine complement the material on these sites and will enhance your studying and revision

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ACES for PACES

Medical Revision

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Web ydr.org.uk acesforpaces.com medicalrevision.org

BOF:3.9

A 65-year-old male presents with a wound infection complicating repair of an inguinal hernia. The patient is septic with a neutrophil leucocytosis, normal haemoglobin and normal reticulocyte count and platelet count. The patient’s serum bilirubin is raised but serum transaminases and alkaline phosphatase are normal.

This condition is due to:

a)     Cholestasis associated with severe sepsis

b)      Shocked liver

c)      Pyogenic liver abscess

d)      Enlarged lymph nodes at the porta-hepatis

e)      Haemolysis

Answer: a)

Cholestasis may occur in severe sepsis and is often associated with normal transaminases and alkaline phosphatase. The pathogenesis is unknown but gross liver damage does not occur. When treated with the appropriate antibiotics, rapid resolution occurs

Revision Tip

Revise causes of jaundice ACES for PACES page 289-290

 

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