Differential diagnosis of obstructive jaundice
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After attempting to evaluate and interpret a number of tests it must be remembered that there is a small group of jaundiced persons in whom diagnosis resists the usual investigative methods. Here the practitioner must often rely on the history. physical examination and bedside observations. A neoplastic obstruction may produce a confused picture, yet frequently the course is characteristic. It is in these cases that a diagnosis is often made by clinical experience and keen observation together with laboratory evidence. Since it is known that an obstructive jaundice which persists for six weeks will be complicated by liver cell degeneration, surgery may finally be necessary in order to determine the cause of the jaundice.
KeywordsObstructive Jaundice Scarlet Fever Icterus Index Liver Degeneration Hemolytic Jaundice
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