A 56-year-old male is evaluated in the hospital due to yellow discoloration of his eyes. Two days ago, he underwent laparoscopic herniorrhaphy for an indirect inguinal hernia. His vital signs are within normal limits. Physical examination shows scleral icterus. Abdominal examination shows no abnormalities. Serum laboratory results are as follows: Two weeks after her examination, the patient's symptoms resolve. Repeat testing shows a total bilirubin concentration of 1.5 mg/dL. Which of the following changes most likely contributed to this patient's hyperbilirubinemia?

Question

A 56-year-old male is evaluated in the hospital due to yellow discoloration of his eyes. Two days ago, he underwent laparoscopic herniorrhaphy for an indirect inguinal hernia. His vital signs are within normal limits. Physical examination shows scleral icterus. Abdominal examination shows no abnormalities. Serum laboratory results are as follows:  Two weeks after her examination, the patient's symptoms resolve.  Repeat testing shows a total bilirubin concentration of 1.5 mg/dL.  Which of the following changes most likely contributed to this patient's hyperbilirubinemia?

Quizplus · Accepted Answer

Eductional Objective: Gilbert syndrome is characterized by indirect hyperbilirubinemia due to decreased bilirubin conjugation.  Patients have recurrent, self-resolving episodes of scleral icterus and jaundice triggered by stress.

A 56-Year-Old Male Is Evaluated in the Hospital Due to Yellow