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26 Possible Causes for Esophageal Varices, Green Jaundice, Scleral Icterus

  • Portal Cirrhosis

    Kayser-Fleischer ring—brown-green ring of copper deposit around the cornea, pathognomonic for Wilson’s disease Nail changes: Muehrcke’s nails—paired horizontal white bands[aafp.org] If we are talking about esophageal varices due to alcoholic cirrhosis, then alcoholic cirrhosis would be PDX (k70.30), followed by esophageal varices (I85.11) if esophageal[aapc.com] icterus Yellow discoloration of skin, cornea, and mucous membranes Increasing serum bilirubin due to compromised hepatocyte excretory function Spider angiomata Central arteriole[pathophys.org]

  • Hemochromatosis

    […] or odd colored skin (ashen gray green or reddish) • Abdominal pain (upper right quadrant—in area of the liver) • Joint pain • Rapid weight loss • Gall bladder, pancreas or[irondisorders.org] ., spider nevi, palmar erythema) Diabetes mellitus Dysrhythmias Esophageal varices Hepatocellular carcinoma Hepatomegaly Hypogonadism Hypothyroidism Impotence Increased pigmentation[aafp.org] Cirrhosis itself may lead to additional and more serious complications, including bleeding from dilated veins in the esophagus (esophageal varices) and stomach (gastric varices[en.wikipedia.org]

  • Primary Biliary Cirrhosis

    Perera DR, Greene ML, Fenster F: Cholestasis associated with extrabiliary Hodgkin's disease. Gastroenterology 1974;67:680–685.[clevelandclinicmeded.com] Physical exam was remarkable for scleral icterus and mild jaundice; no xanthomas were noted. Laboratory studies were performed ( Table 1 ).[clinchem.aaccjnls.org] Hepatic fibrosis was not evident, in spite of the transudative ascites and active esophageal varices.[ncbi.nlm.nih.gov]

  • Secondary Biliary Cirrhosis

    […] to fibrosis Surface & cut section : micronodular cirrhosis Colour : green bile stained Serum Elevated cholebilirubin (obstructive jaundice ) Elevated cholebilirubin & autoantibodies[gen9mdforum.forumegypt.net] icterus Vascular spiders (spider telangiectasias, spider angiomata) Splenomegaly Testicular atrophy TABLE 2 Common Physical Examination Findings in Patients with Cirrhosis[aafp.org] Although she had a history of esophageal variceal bleeding before this pregnancy, there was no such bleeding during pregnancy.[ncbi.nlm.nih.gov]

  • Liver Failure

    Kayser-Fleischer ring—brown-green ring of copper deposit around the cornea, pathognomonic for Wilson’s disease Nail changes: Muehrcke’s nails—paired horizontal white bands[aafp.org] These veins—called varicose veins of the esophagus (esophageal varices) or stomach (gastric varices)—are fragile and prone to bleeding (see Gastrointestinal Bleeding ).[msdmanuals.com] Symptoms of portal hypertension may include: Ascites Esophageal varices Hepatic encephalopathy Kidney problems or failure (hepatorenal syndrome) Enlarged spleen What are esophageal[urmc.rochester.edu]

  • Primary Sclerosing Cholangitis

    Perera DR, Greene ML, Fenster F: Cholestasis associated with extrabiliary Hodgkin's disease. Gastroenterology 1974;67:680–685.[clevelandclinicmeded.com] This model includes age, blood levels of bilirubin, albumin, AST and a history of bleeding from esophageal varices.[emedicinehealth.com] As a result of this obstruction, bacteria from the gut ascends up the bile duct causing infection Esophageal varices: Enlarged veins in the bottom portion of the esophagus[dovemed.com]

  • Cholestatic Jaundice

    Pseudo jaundice may be found in black patients with pigmented sclera, from carotinemia, uremia (a sallow yellowish pallor), and quinacrine (a yellow-green color).[ptolemy.ca] […] of urine and scleral icterus precede yellowing of skin Other causes of yellow skin carotenemia. carotenemia does not cause scleral icterus Hyperbilirubinemia per se has no[meddean.luc.edu] Pathologic analysis of a ultrasonography-guided biopsy sample revealed chronic granulomatous inflammation, and an endoscopic examination revealed esophageal varices and active[ncbi.nlm.nih.gov]

  • Biliary Atresia

    Other conditions besides biliary atresia can cause jaundice to linger. Babies with biliary atresia also have very pale or gray (acholic) stools.[seattlechildrens.org] varices, portal hypertension, and cholangitis did not significantly correlate to the score.[ncbi.nlm.nih.gov] Early signs: It presents in early newborns with yellow skin (jaundice). The whites of the eyes will turn yellow (icterus).[eapsa.org]

  • Secondary Sclerosing Cholangitis

    Perera DR, Greene ML, Fenster F: Cholestasis associated with extrabiliary Hodgkin's disease. Gastroenterology 1974;67:680–685.[clevelandclinicmeded.com] A 55-year-old morbidly obese male presented electively with a 2-week history of low back pain and scleral icterus for 2 days.[karger.com] Indications for liver transplantation include complications of cirrhosis such as bleeding esophageal varices, refractory ascites, encephalopathy and severe hepatic synthetic[texasliver.com]

  • Cholestasis

    Perera DR, Greene ML, Fenster F: Cholestasis associated with extrabiliary Hodgkin's disease. Gastroenterology 1974;67:680–685.[clevelandclinicmeded.com] Her physical exam was remarkable for jaundice and scleral icterus without any stigmata of liver disease.[ncbi.nlm.nih.gov] It results in jaundice, which can be detected by scleral icterus at a concentration as low as 2 mg/dL, and by dark urine.[emedicine.com]

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