DIFFERENTIAL DIAGNOSIS BETWEEN MEDICAL AND SURGICAL JAUNDICE BY LABORATORY TESTS
Authors: H POPPER, F STEIGMANN
Journal: Annals of Internal Medicine (1948)

Article1 September 1948DIFFERENTIAL DIAGNOSIS BETWEEN MEDICAL AND SURGICAL JAUNDICE BY LABORATORY TESTSHANS POPPER, M.D., Ph.D., F.A.C.P., FREDERICK STEIGMANN, M.D., M.S., F.A.C.P.HANS POPPER, M.D., Ph.D., F.A.C.P.Search for more papers by this author, FREDERICK STEIGMANN, M.D., M.S., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-29-3-469 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptDespite the great strides of laboratory medicine in the past two decades and the subsequent elaboration of many liver function tests, the jaundiced patient still presents today a challenging diagnostic problem. There is little difficulty in recognizing the hemolytic variety of jaundice (retention type) primarily by the absence of bile from the urine, the low or absent direct serum bilirubin and evidence of hemolysis. However, to differentiate the two types of regurgitation jaundice, the medical (due to acute or chronic hepatitis or to cirrhosis) from the surgical (due to stones, tumors or strictures), is often difficult. Even the experienced clinician...Bibliography1. WATSONHOFFBAUER CJFW: Liver function in hepatitis, Ann. Int. Med., 1947, xxvi, 813. Google Scholar2. ROSENBERGSOSKIN DHS: Comparison of the cephalin cholesterol flocculation test with various criteria of liver function, Am. Jr. Digest. Dis., 1941, viii, 421. CrossrefGoogle Scholar3. GUTMANHANGER ABFM: Differential diagnosis of jaundice by combined serum phosphatase determination and cephalin flocculation test, Med. Clin. North Am., 1941, xxv, 837. CrossrefGoogle Scholar4. STEIGMANNPOPPERMEYER FHKA: Liver function in clinical medicine, Jr. Am. Med. Assoc., 1943, cxxii, 279. CrossrefGoogle Scholar5. IVYROTH ACJA: Why do liver function tests? Gastroenterology, 1943, i, 655. Google Scholar6. 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Author, Article, and Disclosure InformationAuthors: HANS POPPER, M.D., Ph.D., F.A.C.P.; FREDERICK STEIGMANN, M.D., M.S., F.A.C.P.Affiliations: Chicago, Illinois*Received for publication December 2, 1947.From the Hektoen Institute for Medical Research, the Departments of Pathology and Internal Medicine, Cook County Hospital; Department of Pathology, Northwestern University School of Medicine and the Department of Internal Medicine, University of Illinois College of Medicine, Chicago, Illinois.Aided by a grant from the Dr. Jerome D. Solomon Memorial Research Foundation. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byFine Structural Changes of the LiverHANS POPPER, M.D., F.A.C.P., FENTON SCHAFFNER, M.D., F.A.C.P.Evaluation of hepatic dysfunctionCholangiolitic Manifestations in Virus HepatitisEXCRETORY FUNCTION OF THE LIVER A RE-ASSESSMENTNeedle biopsy of the liverProtein flocculation reactionsThe Differentiation of Parenchymal Liver Disease and Mechanical Biliary ObstructionThymol Flocculation Test 1 September 1948Volume 29, Issue 3Page: 469-487KeywordsBilirubinChronic hepatitisCirrhosisDiagnostic medicineHospital medicineLaboratory testsLiver function testsPatientsResearch laboratoriesUrine ePublished: 1 December 2008 Issue Published: 1 September 1948 PDF downloadLoading ...