Unconjugated hyperbilirubinemia with increased urobilinogen in -: (A) Hemolytic anemia, (B) Liver cirrhosis, (C) Bile duct obstruction, (D) Sclerosing cholangitis
Answer is A. In all uncomplicated hemolytic anemias,the excess serum bilirubin is unconjugated.The level of hyperbilirubinemia depends on functional capacity of liver & the rate of hemolysis. When liver is normal jaundice is rarely severe . Excessive bilirubin excreted by liver into GIT leads to increased formation and fecal excretion of urobilin ie increased urobilinogen Ref : Robbin 9/e pg 632