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question 48 (mandatory) (1 point) high urinary bilirubin with low urobilinogen indicates a) liver disease b) biliary obstruction c) hemolysis d) intestinal inflammation
In biliary obstruction, conjugated bilirubin cannot flow into the intestine normally, leading to its increased excretion in urine (high urinary bilirubin) and reduced formation of urobilinogen in the intestine, resulting in low urobilinogen levels. In liver disease, urobilinogen may be normal or increased in some cases. In hemolysis, there is increased unconjugated bilirubin and usually increased urobilinogen. Intestinal inflammation is not directly related to this pattern of high urinary bilirubin and low urobilinogen.
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b) Biliary obstruction