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36 Possible Causes for Green Jaundice, Scleral Icterus, Splenomegaly

  • 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] Liver cirrhosis: Liver cirrhosis with an inhomogeneous liver with irregular contour and ascites and splenomegaly Liver cirrhosis: Liver cirrhosis with an irregular liver contour[ultrasoundcases.info] 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] Regression on SF revealed significant associations: TS; male sex; age; GGT; transfusion units (positive); and splenomegaly (negative) (p 0.0001, 0.0016, 0.0281, 0.0025, 0.0001[ncbi.nlm.nih.gov] Here we report the case of a 16-year-old Chinese boy, who was admitted with hepatalgia, jaundice, hyperpigmentation, and splenomegaly to our hospital.[ncbi.nlm.nih.gov]

  • Primary Biliary Cirrhosis

    Perera DR, Greene ML, Fenster F: Cholestasis associated with extrabiliary Hodgkin's disease. Gastroenterology 1974;67:680–685.[clevelandclinicmeded.com] […] of the caudate lobe hepatic surface irregularity due to regenerative nodules regional lymphadenopathy: tends to dominate in the gastrohepatic ligament and porta hepatis 4 splenomegaly[radiopaedia.org] Physical exam was remarkable for scleral icterus and mild jaundice; no xanthomas were noted. Laboratory studies were performed ( Table 1 ).[clinchem.org]

  • 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] A patient who had secondary biliary cirrhosis due to recurrent pyogenic cholangitis complicated by splenomegaly and portal hypertension had a successful pregnancy.[ncbi.nlm.nih.gov] icterus Vascular spiders (spider telangiectasias, spider angiomata) Splenomegaly Testicular atrophy TABLE 2 Common Physical Examination Findings in Patients with Cirrhosis[aafp.org]

  • 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] Fever, splenomegaly, elevated ferritin levels, and low fibrinogen levels were present in all patients.[ncbi.nlm.nih.gov] Blood examination and imaging revealed a decreased platelet count and splenomegaly.[ncbi.nlm.nih.gov]

  • 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] USG abdomen showed a liver of normal size and echo pattern with intrahepatic biliary radicle dilatation (IHBRD) in the left lobe, splenomegaly (18 cm), normal common bile[termedia.pl] […] 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]

  • Jaundice

    Here's What to Know," 30 May 2018 Studying green-blooded lizards could lead to new treatments for jaundice, or even malaria. — Laura Yan, Popular Mechanics, "Green-Blooded[merriam-webster.com] The classical clinical features of hereditary spherocytosis are anemia, jaundice, and splenomegaly.[ncbi.nlm.nih.gov] This is sometimes referred to as scleral icterus.[en.wikipedia.org]

  • Splenic Vein Thrombosis

    Intervention is required in patients with a dominant biliary stricture and features of obstructive jaundice.[pancreas.imedpub.com] PubMed Search : Congestive splenomegaly spleen Page views in 2018: 5,928 Page views in 2019 to date: 3,115 Cite this page: Mansouri J. Congestive splenomegaly.[pathologyoutlines.com] The patient was febrile (temp-102 F) with mild pallor, scleral icterus and hepatosplenomegaly.[oxfordjournals.org]

  • Primary Sclerosing Cholangitis

    Perera DR, Greene ML, Fenster F: Cholestasis associated with extrabiliary Hodgkin's disease. Gastroenterology 1974;67:680–685.[clevelandclinicmeded.com] Full blood count – thrombocytopaenia (low platelety)may be found secondary to the portal hypertension (splenomegaly).[myvmc.com] Hepatomegaly, splenomegaly, jaundice, portal hypertension and, in more advanced cases, spider angiomata, ascites and muscle atrophy are observed.[orpha.net]

  • Secondary Sclerosing Cholangitis

    Perera DR, Greene ML, Fenster F: Cholestasis associated with extrabiliary Hodgkin's disease. Gastroenterology 1974;67:680–685.[clevelandclinicmeded.com] ERCP) Hepatomegaly / splenomegaly – approx 50% of patients Investigations P-ANCA – a serum antibody is found in 60% of cases LFT’s: ALP, bilirubin MRCP / ERCP – are able to[almostadoctor.co.uk] 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]

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