Q@Q-time 3 - cardio69

[ArchivalUser]

A 24 y/o M presents with a 20 days history of yellow sclerae & skin and but is otherwise asymptomatic. He recalls a similar episode 2 yrs previously. Pat recall dark colored urine.
Lab;

Serum bilirubin: 4.5 mg/dL, mostly conjugated form.

Serum AST & ALT levels are norm
Liver biopsy shown http://i.imgur.com/Vj2RSFS.png?1

Dx?

[ArchivalUser]

@hln whats dx?

[ArchivalUser]

gilbert ??

[ArchivalUser]

sorry, not giberts.....gilberts is unconj bilitubin increase.


is it rotors?

[ArchivalUser]

@redceo, img http://i.imgur.com/Vj2RSFS.png?1 match Rotor? can u dissect the slide for me, tell me what u see?

[ArchivalUser]

Isn't it hemochromatosiis ?

[ArchivalUser]

i think its Dubin johnson syndrome-defective excretion of conj bilirubin

[ArchivalUser]

Hemochromatosis?

[ArchivalUser]

Dubin Johnson synd

Just dissect for some1 yesterday http://www.usmleforum.com/showthread.php?tid=791504