Prolonged Jaundice and Biliary Atresia

What this deck covers

Prolonged Jaundice and Biliary Atresia in twelve illustrated clinical cases with worked explanations – case presentations built around clinical images, radiology, teaching illustrations and real laboratory data, with the reference range beside every value a case quotes. This visual, data-interpretation style of practice suits candidates preparing for MRCPCH AKP in particular, alongside the Saudi Prometric (SCFHS) exam, the Arab Board, DHA and OMSB. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong.

The twelve cases, in order

1. Still yellow at three weeks
2. The benign yellow of breast milk
3. The nappy that answers first
4. Reading the card
5. The operation with a deadline
6. Proving the absent tree
7. The cyst in the triangle
8. The jaundice that hates milk
9. The screen that explains the yellow
10. Yellow on day two
11. Climbing despite the lights
12. The follow-up that never ends

What this deck teaches

• Fourteen days buys a split. Prolonged jaundice earns total AND conjugated bilirubin – no exceptions for thriving.
• The nappy is a bile-duct report. Pale stool with dark urine is biliary atresia until proven otherwise – refer the same week.
• The Kasai clock. Before ~60 days most drain; after ~90 fibrosis wins – every workup test gets days, not weeks.
• The cholangiogram is the proof. Ultrasound and HIDA suggest; the operating table confirms and treats in one anaesthetic.
• Some yellow is metabolic. E. coli sepsis with cataracts means galactosaemia – stop lactose before the assay returns.
• The thyroid writes jaundice too. Prolonged unconjugated with constipation and lethargy – the screen usually calls first.

Exam pearls from this deck

• Every baby still yellow at two weeks buys one blood test – the split is cheap, the missed diagnosis is a liver.
• Breast milk jaundice is a diagnosis the split hands you – never one the calendar does.

The twelve worked cases in this deck, with the images and the full explanation of every option, are part of Pediatric Case Review membership. See what is included, or start with the free Prometric question sets.

More from this system: all gastroenterology illustrated case decks · gastroenterology board questions for bank-style drilling · the free Pediatric Prometric question sets · pediatric reference values.