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4.0b jaundice (mural (benign (choledochal cyst, biliary atresia…

- - - - IHD stones (reccurent pyogenic cholangitis)
      - CBD stones (choledocholithiasis)
- - - - primary, metastasis
    - - vx alcoholic
    - - HBV/HCV, parasites, abscess
- - - - v immune
        
        hemolysis
        
        extravas hemo
        
        mild splenomegaly
        
        splenectomy (overwhelming post-splenectomy infection OPSI)
        
        uncon Billy, LDH
        
        fluctuating jaundice pigment stones
        
        cholecystectomy
      - x immune
    - - Hb
        
        compensation
        
        bone marrow as
        
        hypercellular
        
        blood film
        
        reticulocytosis/polychromasia
      - enzyme
      - membrane