Created at 5:38 p.m. Mar, 03, 2026
Author: zarathustra
Co-authors: andrewmathias8
Related Note: 1478915789517 4
Rationale for change

the current phrasing ("results from increased conjugated bilirubin") is ambiguous and can be misleading, incorrectly associating hemolysis with elevated serum conjugated bilirubin rather than the classic isolated unconjugated hyperbilirubinemia

- changed Text to: "increased delivery of conjugated bilirubin to the gut"

- Extra field: added the step-by-step pathophysiologic pathway based on AMBOSS (Hemolytic anemia; https://www.amboss.com/us/knowledge/hemolytic-anemia). the intermediate hepatic conjugation step required to solubilize bilirubin for biliary excretion, as well as the final excretion pathway (stercobilin in feces vs. reabsorption for urine excretion), were added for completeness (Erythrocyte morphology and hemoglobin; https://www.amboss.com/us/knowledge/erythrocyte-morphology-and-hemoglobin)

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#AK_Step2_v12::#SketchyIM::08_Hematology_&_Oncology::02_Anemia::05_Intravascular_Hemolytic_Anemia:_Non_MAHA_DDx #AK_Step2_v12::#B&B::07_Hematology_and_Oncology::01_Red_Cells::05_Extrinsic_Hemolysis::Extra #AK_Step1_v12::#SketchyPath::09_Blood_&_Coagulation::02_Normocytic_&_Macrocytic_Anemias::02_Intravascular_Hemolysis_Overiew_&_Paroxysmal_Nocturnal_Hemoglobinuria_(PNH) #AK_Other::AnKing_Image::!Subjects::Gastroenterology::Bilirubin_Metabolism #AK_Step1_v12::#NinjaNerd::09_Hematology::02_Pathology::22_Normocytic_Anemia_(Clinical_Medicine) #AK_Step2_v12::#SketchyIM::08_Hematology_&_Oncology::02_Anemia::07_Extravascular_Hemolytic_Anemia:_Intrinsic_DDx #AK_Step2_v12::#SketchyIM::06_Electrolytes_&_Acid_Base::04_Retired_Lessons::03_Hyperkalemia_Ddx_&_Management_[OLD_VERSION] #AK_Step1_v12::#OME::Clinical::04_Organ_Systems::05_Hematology_Oncology::02_Anemia::07_Normocytic_Anemia #AK_Step1_v12::#Pathoma::05_RBC::04_Normocytic_Anemia #AK_Other::AnKing_Image::AhmedA::Bilirubin_Metabolism #AK_Step2_v12::#SketchyIM::08_Hematology_&_Oncology::02_Anemia::03_Macrocytic_Anemia_DDx #AK_Step1_v12::#FirstAid::10_Hematology_and_Oncology::04_Pathology::09_Normocytic_normochromic_anemias::01_Intravascular_hemolysis #AK_Step1_v12::^Systems::HemeOnc::RBC #AK_Other::#AK_Original_Decks::Step_1::Zanki_Step_Decks::Zanki_Hematology_&_Oncology::Pathoma_RBC #AK_Step2_v12::#SketchyIM::08_Hematology_&_Oncology::02_Anemia::04_Intravascular_Hemolytic_Anemia:_Intro_&_MAHA_DDx #AK_Step1_v12::#SketchyPath::06_Hepatobiliary::01_Gallbladder_&_Biliary_Tract_Disease::01_Lab_Evaluation_of_Liver_Injury_&_Hyperbilirubinemia #AK_Other::Only_Step_1&2_Overlap #AK_Step1_v12::#OME::04_Organ_Systems::05_Hematology_Oncology::02_Anemia::07_Normocytic_Anemia #AK_Step1_v12::#Bootcamp::Hematology_and_Oncology::04_Normocytic_Anemia::02_Hemolysis #AK_Step1_v12::#FirstAid::10_Hematology_and_Oncology::04_Pathology::09_Normocytic_normochromic_anemias::02_Extravascular_hemolysis #PANCE::HEME::cytopenias #AK_Step2_v12::#FirstAid::07_Hematology::04_Red_Blood_Cell_Disorders::04_Hemolytic_Normocytic_Anemias #AK_Step1_v12::#SketchyPath::09_Blood_&_Coagulation::02_Normocytic_&_Macrocytic_Anemias::01_Extravascular_Hemolysis_Overview_&_RBC_Membrane_Defects #AK_Step1_v12::#Bootcamp::Gastroenterology::06_Biliary_System::02_Bilirubin_Metabolism #AK_Step1_v12::#B&B::10_GI::02_GI_Physiology::02_Bilirubin::Extra