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Pathology General 6cb0c2c4

True regarding unconjugated bilirubuin is ?

A
Not lipid soluble
B
More water soluble
C
Excreted by kidney easily
D
Bound with serum albumin
High-Yield Explanation
Ans. is 'd' i.e., Bound with serum albuminUnconjugated bilirubin Unconjugated bilirubin is highly lipid soluble (lipophilic).It is insoluble in water and tightly bound to albumin --> cannot be excreted in urine.o Unbound fraction, which is increased in hemolytic reactions (e.g. erythroblastosis fetalis), can cross blood brain barrier because of lipophilic nature and can cause brain damage of newborn --> Kernicterus.Conjugated bilirubin Conjugated bilirubin is water soluble and only loosely bound to albumin and thus is easily filtered by glomeruli and excreted in urine.

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