bilirubin

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bilirubin

A doctor examines a chart showing bilirubin levels in a patient's blood test.

Definition
  1. Noun:
    • A reddish-yellow pigment in bile: Bilirubin is an orange-yellow substance formed in the liver as a breakdown product of hemoglobin from old red blood cells. It is a normal component of bile.
    • A clinical indicator: Elevated levels of bilirubin in the bloodstream are responsible for the yellow discoloration of the skin and eyes seen in jaundice.
Usage Examples
  • Noun:
    • The blood test showed a high level of bilirubin, indicating a possible liver problem.
    • Bilirubin is excreted from the body in bile and gives feces its characteristic brown color.
    • Newborns often have physiological jaundice due to immature liver function and a temporary rise in bilirubin.
Advanced Usage
  • "Conjugated bilirubin" (or direct bilirubin): This form has been processed by the liver and is water-soluble, ready for excretion.
    • A rise in conjugated bilirubin often suggests a blockage in the bile ducts.
  • "Unconjugated bilirubin" (or indirect bilirubin): This is the form that has not yet been processed by the liver; it is fat-soluble and bound to proteins in the blood.
    • Hemolytic anemia causes an increase in unconjugated bilirubin.
Variants and Related Words
  • Hyperbilirubinemia (n): The medical term for an abnormally high level of bilirubin in the blood.
    • Hyperbilirubinemia is the direct cause of jaundice.
  • Bilirubinuria (n): The presence of bilirubin in the urine, which is an abnormal finding.
    • Bilirubinuria is a sign that conjugated bilirubin is leaking into the bloodstream.
Synonyms
  • Bile pigment: A general term for coloring substances in bile, including bilirubin.
  • Hematoidin (in older or histological contexts): A pigment identical to bilirubin that can be found in tissues after bleeding.
Related Phrases and Terms
  • Bilirubin encephalopathy (also known as kernicterus): A rare but serious type of brain damage in infants caused by very high levels of unconjugated bilirubin.
    • Early treatment of severe jaundice is essential to prevent bilirubin encephalopathy.
  • Total bilirubin: A laboratory measurement that includes both the conjugated (direct) and unconjugated (indirect) forms.
    • The doctor ordered a test for total bilirubin and a liver panel.
bilirubin

A doctor examines a chart showing bilirubin levels in a patient's blood test.

Noun
  1. an orange-yellow pigment in the bile that forms as a product of hemoglobin; excess amounts in the blood produce the yellow appearance observed in jaundice