Can jaundice occur early in schistosomal hepatic fibrosis

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Reference no: EM133867503

In nursing ethics the role of narratives and dialogue has become more prominent in recent years. The purpose of this article is to illuminate a relational-narrative approach to ethics in the context of palliative nursing. The case study presented concerns a difficult relationship between oncology nurses and a husband whose wife was hospitalized with cancer. The husband's narrative is an expression of depression, social isolation and the loss of hope. He found no meaning in the process of dying and death. The oncology nurses were not able to recognize his emotional and existential problems. A narrative perspective inspired by relational ethics indicates that participants may develop a relational narrative that seeks good for all involved in a situation. In palliative nursing this entails open communication about the fragility of life and approaching death. In relational narratives, answers to these ethical dilemmas are co-authored, contingent and contextual.

Question 1. Please could you tell me the normal range of values for the liver function test serum alkaline phosphatase. The only mention of the parameters is that a reading of 1000 serious liver condition.

Question 2. What is the best single test of liver function to exclude liver cell failure in the routine work-up of a patient with early dementia?

Question 3. How valuable is the measurement of the liver span in a physical examination?

Question 4. Why has the term 'chronic liver disease' replaced terms such as 'chronic hepatitis'? What exactly does this new term mean and what conditions does it cover?

Question 5. Can jaundice occur early in schistosomal hepatic fibrosis and, if so, how?

Question 6. My patient has been found to have a serum bilirubin of 34 μmol/L (2 mg/dL) on three occasions. The other liver tests are normal. He tells me he has Gilbert's disease; how can I prove this?

Question 7. Why is urinary urobilinogen increased in haemolytic jaundice? If the bilirubin in this condition is unconjugated, how does it reach the terminal ileum to be converted into urobilinogen?

Question 8. How does cholestatic jaundice affect the kidney?

Question 9. What is the mechanism by which cholestatic jaundice causes bradycardia?

Question 10. Are 'jaundice' and 'icterus' one and the same? I was taught that icterus is yellowing of the sclera, while jaundice is yellowing of the skin and the mucous membranes. As a result, carotenaemia can produce jaundice but not icterus: is this so? I would be grateful if you would clarify this for me.

Reference no: EM133867503

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