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Chapter 52 - Post-operative Jaundice

from Section 5 - Hepatic and Gastrointestinal

Published online by Cambridge University Press:  03 August 2023

Jessica A. Lovich-Sapola
Affiliation:
Cleveland Clinic, Ohio
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Summary

Three days after a reportedly uneventful bilateral mastectomy, the patient’s bilirubin is 7 mg/dL and she appears jaundiced. The patient is told that her jaundice is due to her anesthesia, and is referred to you to evaluate. How do you approach the patient? What do you say to the patient? What do you say to the surgeon? What tests or exams do you order? What are the management options available?

Type
Chapter
Information
Anesthesia Oral Board Review
Knocking Out The Boards
, pp. 228 - 231
Publisher: Cambridge University Press
Print publication year: 2023

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References

Feldman, M, Friedman, LS, Brandt, LJ. Sleisenger & Fordtran’s Gastrointestinal and Liver Disease, 8th ed. Philadelphia: Saunders Elsevier, 2006, pp. 1853–5.Google Scholar
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Hung, OL, Kwon, NS, Cole, AE, et al. Evaluation of the physician’s ability to recognize the presence or absence of anemia, fever, and jaundice. Acad Emerg Med 2000;7(2):146–56.CrossRefGoogle ScholarPubMed
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Wang, MJ, Chao, A, Huang, CH, et al. Hyperbilirubinemia after cardiac operation: incidence, risk factors, and clinical significance. J Thorac Cardiovasc Surg 1994;108(3):429–36.CrossRefGoogle ScholarPubMed

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