DrVirgo
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150. During a screening physical examination, an apparently healthy 40 year old man is found to have unconjugated hyperbilirubinemia (5.5 mg/dL). No other abnormalities are noted on either physical examination or a 20-test chemistry profile. Which of the following is the most likely cause of the patient's hyperbilirubinemia?
A. Acute hepatitis
B. Alcoholic Hepatitis
C. Crigler-Najjar syndrome type I
D. Gilbert syndrome
E. Latent hepatitis B infection
(C or D)
Please Explain... Thanks.
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| babli
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D IT'S gilbert as patient is apparently healthy.in crigler najjar type 1 there is marked unconjugated hyperbilirubinemia,severe kernicterus & death.
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| general malaise
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yup D. gilberts is of no clinical consequence whereas crigler-najjar leads to death
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| robin082006
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D for sure
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| DrVirgo
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You are right guys.
Both CN and Gilberts have increased Uncon. Bili, but Gilberts is very mild; CN is severe.
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| dr_neonatology
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Take care, CN type II is similar to Gilbert, while type I die in early childhood.
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| surgeon99
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ya
CN are common in younger age group and has more severity(kernicterus and death)
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