Abstract
Bilirin metabolism is a complex and facinating example of the body's ability to discard, renew, and recycle vital elements. Jaundice is the warning sign for derangments in this system. As is true of pain, jaundice is a powerful impetus for visiting a healthcare provider. Usually associated with hepatitis by a nonclinician, the origins of jaundise can range from benign to fatally malignant. Patients may have any number of idiopahtic or nosocomial conditions that can contribute to an icteric state. This review delineates the steps of bilirubin metabolism, enmarates the source of bilirubin derangement and examines elments of patient condition and therapeutics that can contributeto hyperbilirubinemia and jaundice.