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et al: Clinical evaluation of jaundice: A guideline of the patient care committee of the American Gastroenterological Association. JAMA 262:3031, 1989
FRANSON TR et al: Frequency and characteristics of hyperbilirubinemia associated with bacteremia. Rev Infect Dis 7:1, 1985
MCDONAGH AF et al: Blue light and bilirubin excretion. Science 208:145, 1980
MURACA M et al: Analytic aspects and clinical interpretation of serum bilirubins. Semin Liver Dis 8:137, 1988
SCHARSCHMIDT BF et al: Approach to the patient with cholestatic jaundice. N Engl J Med 308:1515, 1983
SHERLOCK S, DOOLEY J (eds): Diseases of the Liver and Biliary System, 9th ed, Oxford, Blackwell, 1993, pp 199-213
VAN HOOTEGEM P et al: Serum bilirubins in hepatobiliary disease: Comparison with other liver function tests. Hepatology 5:112, 1985
WEISS JS et al: The clinical importance of a protein-bound fraction of serum bilirubin in patients with hyperbilirubinemia. N Engl J Med 309:147, 1983
Title: Clinical evaluation of jaundice. A guideline of the Patient Care Committee of the American Gastroenterological Association
Journal: JAMA 262:3031-3034, 1989
Publication Date: 1989 Dec 1
Author(s): Frank BB
Abstract: Many diagnostic studies and procedures are available for the evaluation of jaundice. By judicious selection of those that are most likely to lead to a prompt diagnosis and by weighing their relative risk and efficacy, the physician can better ensure the comfort and safety of the patient and the cost-effectiveness of medical care. A guideline is presented that recommends an approach to the evaluation of jaundice. It is based on a critical review of the literature and its application to clinical practice.
Comment(s):
in JAMA 1990 Apr 18;263(15):2050-1
Address: American Gastroenterology Association, Thorofare, NJ 08086.
UI: 90041184
Title: Frequency and characteristics of hyperbilirubinemia associated with bacteremia
Journal: Rev Infect Dis 7:1-9, 1985
Publication Date: 1985 Jan-Feb
Author(s): Franson TR, Hierholzer WJ Jr, LaBrecque DR
Abstract: One hundred consecutive patients with blood cultures positive for microbial growth were prospectively surveyed for the presence of hepatic abnormalities and clinical evidence of infection. Complete data for 82 patients were available for analysis. Fifty-four percent had elevated bilirubin levels, and 34% had total bilirubin values of greater than or equal to 2.0 mg/dl. The levels of total bilirubin were disproportionately elevated compared with those of aspartate aminotransferase, alkaline phosphatase, and cholesterol. Nine of the 23 patients with elevated bilirubin levels had an increase in serum bilirubin one to nine days before their initial positive blood culture. Disproportionate elevations of direct and total serum bilirubin values compared with values for other liver-function tests appear to be associated with bacteremia in adults more frequently than previously recognized and may have some predictive value in such patients.
UI: 85167657

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