The earliest clinical manifestation of biliary atresia is:
a. Jaundice. c. Hepatomegaly.
b. Vomiting. d. Absence of stooling.
ANS: A
Jaundice is the earliest and most striking manifestation of biliary atresia. It is first observed in the sclera and may be present at birth, but is usually not apparent until ages 2 to 3 weeks. Vomiting is not associated with biliary atresia. Hepatomegaly and abdominal distention are common but occur later. Stools are large and lighter in color than expected because of the lack of bile.
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