Perbedaan antara Ikterik Obstruktif dengan Penyakit Hati Kolestatik
| Feature | Suggests Obstructive Jaundice | Suggests Parenchymal Liver Disease |
|---|---|---|
| History | Abdominal pain | Anorexia, malaise, myalgias, suggestive of a viral prodrome |
| Fever, rigors | Known infectious exposure | |
| Previous biliary surgery | Receipt of blood products, use of intravenous drugs | |
| Older age | Exposure to a known hepatotoxin | |
| Acholic stools | Family history of jaundice | |
| Physical examination | High fever | Ascites |
| Abdominal tenderness | Other stigmata of liver disease (e.g., prominent abdominal veins, gynecomastia, spider angiomas, asterixis, encephalopathy, Kayser-Fleischer rings) | |
| Palpable abdominal mass | ||
| Abdominal scar | ||
| Laboratory studies | Predominant elevation of serum bilirubin and alkaline phosphatase | Predominant elevation of serum aminotransferases |
| Prothrombin time that is normal or normalizes with vitamin K administration | Prolonged prothrombin time that does not correct with vitamin K administration | |
| Elevated serum amylase | Blood tests indicative of specific liver disease |
Cecil Medicine 23rd Edition (Saunders) 2008
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