INTRAHEPATIC OBSTRUCTIVE JAUNDICE (PRIMARY CHOLESTASIS), A CLINICOPATHOLOGIC SYNDROME OF VARIED ETIOLOGY: A REVIEW WITH OBSERVATIONS OF THE USE OF CORTICOTROPIN AS A DIAGNOSTIC TOOL

Field: Medicine (Health Sciences)

Article1 April 1956INTRAHEPATIC OBSTRUCTIVE JAUNDICE (PRIMARY CHOLESTASIS), A CLINICOPATHOLOGIC SYNDROME OF VARIED ETIOLOGY: A REVIEW WITH OBSERVATIONS OF THE USE OF CORTICOTROPIN AS A DIAGNOSTIC TOOLHENRY C. JOHNSON JR., M.D., JOHN P. DOENGES, M.D.HENRY C. JOHNSON JR., M.D.Search for more papers by this author, JOHN P. DOENGES, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-44-4-589 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe clinical task of differentiating intrahepatic from extrahepatic jaundice is a problem frequently encountered by both physicians and surgeons. The divergent therapeutic implications in the management of these two forms of jaundice make their differentiation imperative. Careful attention to the clinical history and physical findings, utilization of the growing number of available chemical tests of liver cell function1-4and selective use of needle biopsy of the liver5-7have made it possible to arrive at the correct diagnosis in a high percentage of such cases. Of particular interest, however, and offering unusual diagnostic difficulty, are certain instances of acute or subacute...Bibliography1. Watson CJ: Regurgitation jaundice; clinical differentiation of the common forms with particular reference to the degree of biliary obstruction, J. A. M. A. 114: 2427, 1940. Google Scholar2. Klatskin G: Some observations on liver function tests, Yale J. Biol. and Med. 21: 127, 1948. MedlineGoogle Scholar3. BrugerOppenheimer ME: The present status of liver function tests, including observations on the newer flocculation procedures, Bull. New York Acad. Med. 25: 16, 1949. MedlineGoogle Scholar4. 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Author, Article, and Disclosure InformationAffiliations: Fort Jackson, South Carolina*Received for publication September 21, 1955.From the U. S. Army Hospital, Fort Jackson, South Carolina.†Senior Assistant Resident, Medicine, Duke University Hospital, Durham, North Carolina; formerly Chief of Gastroenterology Service, U. S. Army Hospital, Fort Jackson, South Carolina.‡Internist, Olney Sanitarium Clinic, Olney, Illinois; formerly Assistant Chief of Medical Service, U. S. Army Hospital, Fort Jackson, South Carolina. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byThe General Appearance (Habitus)The-Effect of Cortisone on Cholangitis Induced by α-Naphthyl-Isothiocyanate in RatsThe Place of Steroid Therapy in the Treatment of Liver DiseaseCorticotropin and Corticosteroids in Human Viral InfectionsTHE ACUTE CHOLESTATIC SYNDROMEThe cholestatic form of viral hepatitisAcute Intrahepatic CholestasisIntrahepatic cholestasis following administration of chlorpropamideIntrahepatic Obstructive JaundiceSerum alkaline phosphatase activity in diseases of the skeletal and hepatobiliary systemsHeatstroke and jaundicePharmakologische Wirkungen bei psychischen ErkrankungenIntrahepatic cholestasisGelbsucht mit Verschlusssyndrom aus nichtmechanischer UrsacheDrug reactions characterized by cholestasis associated with intrahepatic biliary tract obstructionCHLORPROMAZINE HEPATITIS TREATED WITH CORTISONE*MORGAN CUTTS, M.D., F.A.C.P.Chlorpromazine jaundiceBILIARY SURGERY IN CHLORPROMAZINE JAUNDICEZur Therapie diffuser hepatocellulärer Erkrankungen (Hepatitis, Cirrhose usw.)DIAGNOSIS AND TREATMENT OF PRIMARY INTRAHEPATIC CHOLESTASIS 1 April 1956Volume 44, Issue 4Page: 589-616KeywordsAdrenocorticotropic hormoneHepatitisHepatitis AHepatitis E virusHospital medicineLiver function testsMedical servicesPathogensSurgeonsToxic agents ePublished: 1 December 2008 Issue Published: 1 April 1956 Copyright & PermissionsCopyright ©, 1956, by The American College of PhysiciansPDF downloadLoading ...