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War Surgery and Medicine

Clinical Pathology

Clinical Pathology

Blood Picture: In the pre-icteric stage there is leucopenia with an absolute neutropenia and an increase in the large lymphocytes. In the icteric stage the white cells increase again and there is a definite absolute monocytosis, and then a gradual return to normal in about six weeks.

Liver Function Tests: These were rarely carried out among New Zealand patients, and it was considered there was no single test which would differentiate between infective hepatitis, chronic hepatitis, cirrhosis, and obstructive jaundice. Higgins and his colleagues consider that the estimation of bilirubin, phosphatase, albumin, and globulin in the plasma from a given specimen provided as much information as could be got from liver function tests.