1. Identify salient historical information that my have a bearing to this patient's chief complaint and indicate its significance.  Answer

2. What is your working diagnosis for her Jaundice based on the history.  Answer

3. Identify salient physical findings that my have a bearing to this patient's chief complaint and indicate its significance.  Answer

4. What is your working diagnosis for her Jaundice based on the history and physical?  Answer

5. Identify salient Laboratory findings that my have a bearing to this patient's chief complaint and indicate its significance.  Answer

6. Cite the main clinical problem (not the diagnosis)  Answer

7. Cite other significant clinical problems (not diagnoses).  Answer

8. We need a clear understanding of Bilirubin metabolism to solve clinical problems related to it Briefly review the formation of bilirubin.   Answer

9. Discuss a differential diagnosis based on disease categories. A good way to discuss this question is to approach the jaundiced patient according to the fractionation of the bilirubin.   Answer

10. How do you Classify jaundice  Answer

11. Now after listing differential diagnosis, what are the important historical information you should gather from history and why?  Answer

12. Now after listing differential diagnosis, what are the important physical findings you should gather from physical examination and why?  Answer

13. What are the useful lab studies in evaluation of a patient with jaundice and their utility?  Answer

14. What patho-physiologic process does the laboratory data suggest?  Answer

15. What is the diagnosis in this patient  Answer

5.      16. Cite data from the history, physical exam and laboratory to support this diagnosis.  Answer

17. What other laboratory/radiologic examinations might be done to exclude other causes of jaundice?   Answer

7.      18. Assuming that she has alcoholic hepatitis what would a liver biopsy show in this patient?  Answer

19. What advice would you give the patient regarding the use of Tylenol.  Answer