© 2003 Fellowship of Postgraduate Medicine
SELF ASSESSMENT QUESTION
Jaundice
Deep jaundice in an adolescent
B Academic Department of Internal Medicine, Athens, Greece
Correspondence to:
Correspondence to:
Dr Deutsch;
kostam@ath.forthnet.gr
Accepted 24 January 2003
Answers on p 548.
Keywords: Whipple’s disease; Tropheryma whippelii; jaundice; Epstein-Barr; cholestasis; haemolysis; infectious mononucleosis
| The first 150 words of the full text of this article appear below. |
A 16 year old girl, previously healthy, presented with a four day history of 39°C fever with chills, loss of appetite, and fatigue. During the past 24 hours, she had dark urine and became progressively jaundiced. She had never smoked or drunk alcohol and took no medications or illicit drugs. Her parents and sibling were in good health.
On examination she was alert but weak, with a presenting fever 39°C, blood pressure of 100/75 mm Hg, tachycardia (108 beats/min), and tachypnoea (26 breaths/min). The patient was obviously jaundiced and small, painless, tracheal lymph nodes were palpable. The liver was slightly enlarged and the spleen just palpable. There were no signs of chronic liver disease and a split lamp examination for Kayser-Fleischer rings gave negative results. Pregnancy was excluded.
Laboratory testing showed a haemoglobin concentration of 116 g/l (mean corpuscular volume 96.3 fl), leucocytes 13.6 x 109/l with 34%
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
Relevant Article
-
Deep jaundice in an adolescent
Postgrad. Med. J. 2003 79: 548-549.[Extract] [Full Text] [PDF]
- Full Text
- Full Text (PDF)
- Submit a response
- Alert me when this article is cited
- Alert me when eLetters are posted
- Alert me if a correction is posted
Services
- Email this link to a friend
- Similar articles in this journal
- Similar articles in PubMed
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
PubMed
Topic Collections
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
