DBili

Medical abbreviation · Laboratory Test

DBili
Stands forDirect bilirubin
CategoriesMedical

DBili stands for Direct bilirubin, a laboratory test abbreviation.

Water-soluble, conjugated form of bilirubin processed by the liver, normally no more than about 0.3 mg/dL. A high direct fraction points to hepatocellular disease or biliary obstruction, while a high total with normal direct bilirubin suggests hemolysis or Gilbert syndrome; indirect bilirubin is total minus direct.

Example: DBili 4.1 of a total 5.2: conjugated hyperbilirubinemia, imaging ordered.

Usage notes

"Direct" comes from the van den Bergh reaction described in 1913: conjugated bilirubin reacts directly with the diazo reagent, while unconjugated bilirubin needs an accelerator. In infants, a raised direct bilirubin is never normal and prompts urgent evaluation for biliary atresia. Also written D bili or conjugated bilirubin.

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This entry is for general education and is not medical advice. Abbreviation use varies between institutions; always confirm in context.