An unusual cause of jaundice  

Oleh:

Owen, P.J.D. ; Baghomian, A ; Lazarus, John H. ; Godkin, A.J.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: British Medical Journal (keterangan: ada di Proquest) vol. 335 no. 7623 (Oct. 2007), page 773.

Ketersediaan

Perpustakaan FK Nomor Panggil: B16.K.2007.02 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

Lihat Detail Induk

Isi artikel

Patients with jaundice of unknown cause need their thyroid function tested to exclude an underlying thyroid problem We report on a patient with Graves' thyrotoxicosis, whose presentation with jaundice and hepatic dysfunction led to unnecessary investigations and a delay in management. We suggest patients with jaundice of unknown cause should have thyroid function tests performed as a part of their routine investigation. Case report A 36 year old labourer was referred to the gastroenterology department at his local hospital with a three month history of general malaise, myalgia, and painless jaundice. He reported a 25 kg weight loss and a change of bowel habit with pale diarrhoea and steatorrhoea, passing stools up to 20 times daily, with some darkening of his urine. He had no medical history of note, was a non-smoker, consumed around 5 units of alcohol a week, and lived with his wife and teenage daughter. He had not travelled abroad recently and had had no occupational exposure to hepatitis or hepatotoxic chemicals or drugs. In addition, . . .

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