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Discussion

Dark urine and pale stools in hepatitis reflect

  • A.dehydration from the accompanying fever
  • B.bleeding into the intestinal tract
  • C.failure of the kidneys to concentrate urine
  • D.disturbed excretion of bilirubin

Answer: D

Conjugated bilirubin that cannot reach the gut spills into the urine and darkens it, while its absence from the stool removes the normal colour. The pair of signs points to the liver rather than to the kidney or the gut.

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