A child has bilirubin of 4 mg. Conjugated bilirubin and alkaline phosphatase are normal, bile salts and bile in urine are absent. However urobilinogen in urine is raised. What is the likely diagnosis –
High-Yield Explanation
Important clues provided in question are -
Increased total bilirubin
I So, T unconjugated bilirubin
Normal conjugated bilirubin
Amongst the given options, only hemolytic jaundice causes increased unconjugated bilirubin.
Remaining three cause conjugated hyperbilirubinemia.