Bilirubin Metabolism Clinical Chemistry Review 104
Recticuloendothelial System
RBCs
HGB
Heme
1
iron
1
globin
Blood
Unconjugated (indirect) bilirubin
Portal bloodUrobilinogen
Liver
Intestines
Kidneys
Fecal urobilinogen
1
urobilin
Urine
urobilinogen
Unconjugated
bilirubin
Conjugated
(direct) bilirubin
Glucuronyl transferase Bacteria
Conjugated bilirubin
Urobilinogen
Urobilin
Normal metabolism of bilirubin.