TABLE OF CONTENTS Medicine and the State, with Special Reference to the E.M.S. The Right HIoni. WALTEIR ELLIOT, F.R.C.P., F.R.S. ......................................................911 Congenital Obliteration of Bile Ducts and Icterus Gravis Neonatorum M. 0. SKELTON, M.B., and GEOFFREY FH. TOVEY, M.D . .D .............................. ............. 914 The Rh Factor and Blood Transfusion W. ...

Leptospirosis, a zoonotic disease is increasingly being recognized in developing countries. It often underdiagnosed resulting significant mortality as the presenting features mimic other commonly prevailing diseases like Malaria, Dengue, Acute hepatitis, Typhoid world. We are reporting case of 16 years old male student presented with acute febrile illness icterus, hemorrhagic manifestation and ...

In October 2011, a case of leptospirosis was identified in a Dutch traveller returning from the Dominican Republic to the Netherlands. The 51-year-old man had aspired muddy water in the Chavón river on 29 September. Twenty days later he presented with fever, nausea, vomiting, diarrhoea, arthralgia, headache, conjunctival suffusion and icterus. Leptospira serovar Icterohaemorrhagiae or Australis...

Altered mental status is a common undifferentiated presentation in the emergency department. We describe a case of acetaminophen-induced acute liver failure that was diagnosed and treated prior to obtaining definitive historical or laboratory information about the etiology. The physical exam finding of scleral icterus in this case was a key element to rapid identification and treatment of this ...

A 15-year-old boy presented to the emergency department with acute development of fever and chills. Physical exam revealed a blood pressure of 86/61, jaundice with scleral icterus, and dark urine. Laboratory tests (increased free hemoglobin, increased lactate dehydrogenase, and decreased haptoglobin) revealed a direct antiglobulin test (DAT)negative hemolytic anemia. Sequential serum potassium ...

49-year-old white female with remote h/o sarcoidosis was referred to GI when her liver was noted to be nodular. Physical examination revealed normal vital signs and no icterus, spider nevi, clubbing, ascites, hepatosplenomegaly, or ankle edema. LFTs, hepatitis serologies, ANA, AMA, ASMA, Ferritin, Ceruloplasmin, and α 1-AT, level were unremarkable. Liver biopsy showed cirrhosis. She developed w...

Liver disease is common in the cat and the finding of icterus is a frequently a clinical clue that the cat has primary liver disease. The types of liver disease as well as differences in laboratory tests for the cat are very different from disorders observed in the dog. This is due in part to specific anatomical and metabolic differences of the cat. The following includes an overview of theses ...