For various patients with jaundice, distinguish the diagnosis.

Explanation:

Examiners love to test one on this.

Always remember Gilbert's disease- Jaundice that is mild and occurs on starving/stress e.g. Pre-op NPO(NBM) or during religious rituals of fasting e.g. Ramadan. It is a benign condition due to hereditary deficiency of the enzyme  Glucuronyl transferase.   therefore conjugation is deficient and unconjugated bilirubin is elevated. A 2 day half (1200-1300) calorie diet increases Bili by 1.5 mg%.

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