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Direct Jaundice (ExtraHepatic (Features (Pale Stool Continous all time (…

- - - - Asymtpomatic At birth , Usually Develpes Jaundice by 2 to 3 Week
      - Constant Pale Stool
      - Dark Urine
      - Portal Hypertension in Months
    - - Enzymes
        
        Obsturction not inflammtion
        
        Alkaline Phosphates and GGT Elevated
        
        ALT and AST MIldly Elevated
      - Investigation of Choice ( UltraSound)
        
        Not Diagnostic but To rule Out other Causes
        
        Showing TriAngular Cord Sign
        
        IntraOperative Cholangiogram ( is the Defintive and Theraptic Choice)
    - - Kaisai Procedure whthin 2 Months Best
- - - - Features
        
        HepatoSpleenmegaly