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Biliary Sepsis

Few term newborns with hyperbilirubinemia have serious underlying pathology. Jaundice is considered pathologic if it presents within the first 24 hours after birth, the total serum bilirubin level rises by more than 5 mg per dL (86 mol per L) per day or is higher than 17 mg per dL (290 mol per L), or an infant has signs and symptoms suggestive of serious illness.


GGT level: diff. Bt. ALP elevation weather due to bone or liver dis. Diagnosis and Reasoning The acute abdomen is one of the most common presentations in clinical practice, with a spectrum of causative etiologies ranging from self-limited disease to life-threatening conditions. The location of the abdominal pain is key towards guiding the diagnostic reasoning in this situation; note that pain in the right upper quadrant is usually due to pulmonary, renal, hepatobiliary, or pancreatic…