Core Questions

1. Explain broad causes of elevated bilirubin (obstructive, hepatocellular, and hemolysis) and the significance of direct vs. indirect hyperbilirubinemia (Fig 25.1)
2. Explain your approach to the history and physical exam in patients with jaundice (Fig 25.2) 
3. List 10 causes of jaundice (Table 25.2) 
4. Explain your approach to ancillary testing in patients with jaundice. 

Wisecracks

1. What are the stages of hepatic encephalopathy?  
2. What is the triad of acute hepatic failure? 
3. What is Charcot’s triad and Reynold’s pentad? 
4. What is the “1000s Club” and how do you become a member?