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Recognizing Biliary Obstruction
Pages 3 (753 words)
The article “Yellow Bird of Jaundice: Recognizing Biliary Obstruction” discusses a commonly occurring disorder biliary obstruction, its underlying etiology, basic patho-physiology, diagnostic tests and available treatment options. There are several reasons for which I chose this article.
Also, numerous treatment choices with possible outcomes and suggested nursing interventions based on research evidence are described. Thus, this article also satisfies the PICO model for evidence based nursing which represents the problem identification of the patient, interventions suggested, contrasting treatment options and possible outcomes. This essay presents the summary of chosen paper, consideration of research findings of authors, its relevance to clinical practice and the possible benefits of their application. This article focuses on a frequently occurring disorder biliary obstruction; which affects significant number of people in a population with an estimated rate of 5 per 1000 people. Biliary obstruction or cholestasis is caused by disruption in the flow of bile from liver (where it is synthesized as exocrine secretion) to duodenum (where it assimilates fats and bilirubin). Bilirubin is formed as a by-product of hemoglobin breakdown in spleen and its metabolism is dependent upon uptake, storage, conjugation and secretion. The conversion of un-conjugated bilirubin to water soluble conjugated bilirubin is carried out by hepatocytes in liver and thus secreted into bile. From where it travels in intestine and is finally eliminated in feces in the form of urobilinogens. ...
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