Parameters of bilirubin pigments metabolism
Peripheral blood: Total bilirubin <1.3 mg/dl. Unconjugated bilirubin <1.0 mg/dl. Conjugated bilirubin <0.3 mg/dl. Urobilinogen - not detected. Stercobilinogen - detected.
Define changes in the bile pigments level and composition in biological fluids and explain possible causes and mechanisms of their development. Make a general conclusion on the given data.
| Blood | Urine | Stool |
N 194* |
Total bilirubine | 2.6 mg/dl | - | - |
Conjugated bilirubine | 0.15 mg/dl | Not found | - |
Urobilinogen | + | + | + |
Stercobilinogen | Increased | Increased | Increased |
Cholic acids | Not found | Not found | - |
N 195 |
Total bilirubine | 2.4 mg/dl | - | - |
Conjugated bilirubine | 1.4 mg/dl | + | - |
Urobilinogen | Trace amounts | Trace amounts | - |
Stercobilinogen | Trace amounts | Trace amounts | Very low |
Cholic acids | + | + | - |
Alanine aminotransferase | Increased | - | - |
Aspartate aminotransferase | Increased | - | - |
N 196 |
Total bilirubine | 1.5 mg/dl | - | - |
Conjugated bilirubine | 0.5 mg/dl | Trace amounts | - |
Urobilinogen | + | + | + |
Stercobilinogen | Norm | Norm | - |
Cholic acids | Not found | Not found | - |
Blood Urine Stool |
N 197 |
Total bilirubine | 2.43 mg/dl | - | - |
Conjugated bilirubine | 0.35 mg/dl | Trace amounts | - |
Urobilinogen | Not found | Not found | - |
Stercobilinogen | Decreased | Decreased | Decreased |
Cholic acids | + | + | - |
Alanine aminotansferase | Very high | - | - |
Aspartate aminotransferase | Very high | - | - |
N 198 |
Total bilirubine | 2.4 mg/dl | - | - |
Conjugated bilirubine | 1.4 mg/dl | + | - |
Urobilinogen | - | - | - |
Stercobilinogen | - | - | - |
Cholic acids | + | + | + |
Alanine aminotransferase | Norm | - | - |
Aspartate aminotransferase | Norm | - | - |
N 199 |
Total bilirubine | 1.8 mg/dl | - | - |
Conjugated bilirubine | 0.2 mg/dl | + | - |
Urobilinogen | - | - | - |
Stercobilinogen | Norm | Norm | Norm |
Cholic acids | - | - | - |
N 200 |
Total bilirubine | 3.5 mg/dl | - | - |
Conjugated bilirubine | 2.1 mg/dl | + | - |
Urobilinogen | - | - | - |
Stercobilinogen | Trace amounts | Trace amounts | Decreased |
Cholic acids | + | + | - |
Alanine aminotransferase | Increased | - | - |
| Blood | Urine | Stool |
N 201 |
Total bilirubine | 4.4 mg/dl | - | - |
Conjugated bilirubine | 0.35 mg/dl | Trace amounts | - |
Urobilinogen | + | + | - |
Stercobilinogen | Increased | Increased | Norm |
Cholic acids | - | - | - |
Alanine aminotransferase | Increased | - | - |
N 202 |
Total bilirubine | 2.1 mg/dl | - | - |
Conjugated bilirubine | 0.2 mg/dl | - | - |
Urobilinogen | - | - | - |
Stercobilinogen | Increased | Increased | Increased |
Cholic acids | - | - | - |
Alanine aminotransferase | norm | - | - |
N 203 |
Total bilirubine | 3.6 mg/dl | - | - |
Conjugated bilirubine | 2.5 mg/dl | + | - |
Urobilinogen | - | - | - |
Stercobilinogen | - | - | Trace amount |
Cholic acids | - | - | - |
Alanine aminotransferase | Norm | - | - |