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Biliary Secretory Failure in Man: The Problem of Cholestasis

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Copyright ©, 1966, by The American College of PhysiciansThe American College of Physicians

Ann Intern Med. 1966;65(3):397-408. doi:10.7326/0003-4819-65-3-397
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The diagnosis of the type and cause of jaundice is usually an easy clinical exercise. The majority of patients will be suffering from hepatocellular jaundice due to acute viral hepatitis or cirrhosis or surgical cholestatic jaundice due to cholelithiasis or carcinoma of the pancreas or liver. Such conditions will be obvious to most junior physicians. There remains a proportion in which difficulty arises, and this is especially so when the distinction between medical and surgical jaundice is required. This paper describes a group of patients in whom surgical jaundice is simulated, although the origin lies within the liver. An anatomical




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