Jaundice history & symptoms: Difference between revisions

Jump to navigation Jump to search
VisualWikitext
m (Bot: Removing from Primary care)
 
(39 intermediate revisions by 3 users not shown)
Line 2: Line 2:
{{Jaundice}}
{{Jaundice}}


Please help WikiDoc by adding more content here.  It's easy!  Click  [[Help:How_to_Edit_a_Page|here]]  to learn about editing.
{{CMG}}; {{AE}} {{FKH}}
 
{{CMG}}  


==Overview==
==Overview==
Common symptoms of jaundice that the patient will notice, is yellowing of the skin, nausea, and vomiting. Specific symptoms will depend on the underlying factor that caused jaundice to occur.
Common symptoms associated with jaundice are yellowing of the skin, [[nausea]], and [[vomiting]]. Specific symptoms will depend on the underlying cause of jaundice. Patients may present with [[fever]], [[anorexia]], [[dark urine]], [[fatigue]], [[pruritis]], [[right upper quadrant pain]]. A detailed history of [[alcohol]] use, [[Blood transfusion|blood transfusions]], history of [[Hepatitis|viral hepatitis]] and family history of [[Hepato-biliary diseases|liver disease]] is recommended for all the [[Patient|patients]].


==History and Symptoms==
==History and Symptoms==
Jaundice typically appears in a 'top to bottom' progression (starting with the face, progressing toward the feet), and resolves in a 'bottom to top' manner.  
* Jaundice typically progress in "top to bottom" manner, from face to feet.  
 
* Specific history should be focused on alcohol or [[hepatotoxic]] medication use.   


The caregiver should ask questions regarding
==='''History'''===
* Alcohol/hepatotoxic medication use
Patients with jaundice may have a positive history of:
====Social history====
*History of [[alcohol]] use:
**Amount
**Duration
*History of illicit [[:Category:Drugs|drug]] use
*History of unprotected sexual intercourse
====Past Medical history====
*History of [[Infection|infections]]:<ref name="pmid21877109">{{cite journal |vauthors=Flores YN, Lang CM, Salmerón J, Bastani R |title=Risk factors for liver disease and associated knowledge and practices among Mexican adults in the US and Mexico |journal=J Community Health |volume=37 |issue=2 |pages=403–11 |year=2012 |pmid=21877109 |doi=10.1007/s10900-011-9457-4 |url=}}</ref>
**[[Hepatitis B]]
**Hepatitis [[Hepatitis C|C]]
*History of [[Autoimmunity|autoimmune disorders]]:
**[[Autoimmune hepatitis]]
**[[Crohn's disease]]
*History of [[Blood transfusion|blood transfusions]]
====Family history====
*[[Family history]] of liver disease:
**[[Wilson's disease]]
**[[Hemochromatosis]]
====Medication history====
*History of use of any [[Hepatotoxicity|hepatotoxic]] drugs
==='''Common Symptoms'''===
Common symptoms of jaundice depends on the underlying factor that causes jaundice and include:
* '''[[Viral Hepatitis]]'''<ref name="pmid41915022">{{cite journal |vauthors=Krugman S, Giles JP |title=Viral hepatitis. New light on an old disease |journal=JAMA |volume=212 |issue=6 |pages=1019–29 |year=1970 |pmid=4191502 |doi= |url=}}</ref><ref name="pmid29336434">{{cite journal |vauthors=Singal AK, Bataller R, Ahn J, Kamath PS, Shah VH |title=ACG Clinical Guideline: Alcoholic Liver Disease |journal=Am. J. Gastroenterol. |volume= |issue= |pages= |year=2018 |pmid=29336434 |doi=10.1038/ajg.2017.469 |url=}}</ref>
** [[Anorexia]]
** [[Dark urine]]
** [[Ddx:Fatigue|Fatigue]]
** Light-colored stools  ([[acholic stools]])
** [[Ddx:Pruritis|Pruritis]]
** [[Abdominal pain|Right upper quadrant (RUQ) pain]]
** [[Nausea and vomiting]]


'''Various Symptoms'''
* '''[[Cirrhosis]]'''<ref name="pmid9683971">{{cite journal |vauthors=Williams EJ, Iredale JP |title=Liver cirrhosis |journal=Postgrad Med J |volume=74 |issue=870 |pages=193–202 |year=1998 |pmid=9683971 |pmc=2360862 |doi= |url=}}</ref><ref name="pmid18328931">{{cite journal |vauthors=Schuppan D, Afdhal NH |title=Liver cirrhosis |journal=Lancet |volume=371 |issue=9615 |pages=838–51 |year=2008 |pmid=18328931 |pmc=2271178 |doi=10.1016/S0140-6736(08)60383-9 |url=}}</ref>
* '''Alcohol Hepatitis'''<ref name="pmid29336434">{{cite journal |vauthors=Singal AK, Bataller R, Ahn J, Kamath PS, Shah VH |title=ACG Clinical Guideline: Alcoholic Liver Disease |journal=Am. J. Gastroenterol. |volume= |issue= |pages= |year=2018 |pmid=29336434 |doi=10.1038/ajg.2017.469 |url=}}</ref>
** [[Right upper quadrant abdominal pain resident survival guide|Right upper quadrant abdominal pain]]
*:* [[Ddx:Fever|Fever]]
** [[Fever]]
* '''Viral Hepatitis'''<ref name="pmid41915022">{{cite journal |vauthors=Krugman S, Giles JP |title=Viral hepatitis. New light on an old disease |journal=JAMA |volume=212 |issue=6 |pages=1019–29 |year=1970 |pmid=4191502 |doi= |url=}}</ref>
** [[Anorexia]]
*:* [[Anorexia]]
** [[Fatigue]] and [[weakness]]
*:* Dark urine
** [[Nausea and vomiting]]
*:* [[Ddx:Fatigue|Fatigue]]
** [[Weight loss]]
*:* [[Light-colored stools]] ([[acholic stools]])
** [[Abdominal pain]] and bloating
*:* [[Ddx:Nausea and Vomiting|Nausea]]
** [[Menstrual disorder|Menstrual irregularities]]
*:* [[Ddx:Pruritis|Pruritis]]
** Symptoms of [[hypogonadism]]:
*:* [[Abdominal pain|Right upper quadrant (RUQ) pain]]
*** [[Erectile dysfunction|Impotence]]
*:* [[Nausea and Vomiting]]
*** [[Infertility]]
*** [[Testicular atrophy]]
*** Loss of [[libido]]
** [[Easy bruising]]
** Symptoms due to [[hepatic encephalopathy]]:
*** [[Altered mental status]]
*** [[Confusion]]
*** [[Sleep disturbances]]
*** [[Muscle cramps]] due to reduction in effective circulating plasma volume
*** Lower extremity [[edema]]
** '''[[Primary biliary cirrhosis]]'''<ref name="pmid12853201">{{cite journal |vauthors=Talwalkar JA, Lindor KD |title=Primary biliary cirrhosis |journal=Lancet |volume=362 |issue=9377 |pages=53–61 |date=July 2003 |pmid=12853201 |doi=10.1016/S0140-6736(03)13808-1 |url= |author=}}</ref>
*** [[Fatigue]] out of proportion to the severity of the [[disease]]
*** [[Pruritis]]:
**** May be intermittent
**** Worse at night
**** May present in the last trimester of [[pregnancy]] and may be mis-diagnosed as [[Cholestatic jaundice of pregnancy|cholestasis of pregnancy]]
* '''[[Pancreatic cancer]]'''<ref name="pmid15960930">{{cite journal |vauthors=Porta M, Fabregat X, Malats N, Guarner L, Carrato A, de Miguel A, Ruiz L, Jariod M, Costafreda S, Coll S, Alguacil J, Corominas JM, Solà R, Salas A, Real FX |title=Exocrine pancreatic cancer: symptoms at presentation and their relation to tumour site and stage |journal=Clin Transl Oncol |volume=7 |issue=5 |pages=189–97 |year=2005 |pmid=15960930 |doi= |url=}}</ref>
** [[Weight loss|Weight Loss]] (significant)
** [[Epigastric|Midepigastric]] [[pain]] which may also radiate either to the lower back region and mid-back region
** [[Nausea and vomiting]]
** [[Malaise]]
** [[Fatigue]]
** [[Anorexia|Loss of appetite]]
** [[Anorexia]]
** [[Dyspepsia]]
** [[Ascites]]
** [[Dark urine]]
** [[Acholic stools|Light-colored or greasy stools]]
* '''[[Cholestasis]]'''<ref name="pmid22541702">{{cite journal |vauthors=Bunchorntavakul C, Reddy KR |title=Pruritus in chronic cholestatic liver disease |journal=Clin Liver Dis |volume=16 |issue=2 |pages=331–46 |year=2012 |pmid=22541702 |doi=10.1016/j.cld.2012.03.010 |url=}}</ref>
** Clay-colored or white stools
** [[Dark urine]]
** Inability to [[digest]] certain foods
** [[Itching]]
** [[Nausea]] or [[vomiting]]
** [[Right upper quadrant abdominal pain resident survival guide|Right upper quadrant abdominal pain]]
* '''[[Cholangiocarcinoma]]''' <ref name="pmid21460876">{{cite journal |vauthors=Patel T |title=Cholangiocarcinoma--controversies and challenges |journal=Nat Rev Gastroenterol Hepatol |volume=8 |issue=4 |pages=189–200 |year=2011 |pmid=21460876 |pmc=3888819 |doi=10.1038/nrgastro.2011.20 |url=}}</ref>
** [[Pruritis]]
** [[Abdominal pain]]
** [[Fever]]
** [[Fatigue]]
==='''Less Common Symptoms'''===
Less common symptoms of jaundice include
*'''[[Primary sclerosing cholangitis]]'''<ref name="pmid27653566">{{cite journal |vauthors=Lazaridis KN, LaRusso NF |title=Primary Sclerosing Cholangitis |journal=N. Engl. J. Med. |volume=375 |issue=12 |pages=1161–70 |date=September 2016 |pmid=27653566 |pmc=5553912 |doi=10.1056/NEJMra1506330 |url= |author=}}</ref>
** [[Fatigue]]
** [[Pruritis]]
** [[Steatorrhea]]
** [[Abdominal pain]], mainly in the [[right upper quadrant]] ([[RUQ]])
** [[Fever]]
** [[Weight loss]]


* '''Nonalcoholic fatty liver disease'''<ref name="pmid28507929">{{cite journal |vauthors=Vizuete J, Camero A, Malakouti M, Garapati K, Gutierrez J |title=Perspectives on Nonalcoholic Fatty Liver Disease: An Overview of Present and Future Therapies |journal=J Clin Transl Hepatol |volume=5 |issue=1 |pages=67–75 |year=2017 |pmid=28507929 |pmc=5411359 |doi=10.14218/JCTH.2016.00061 |url=}}</ref>
* '''Decompensated [[cirrhosis]]'''<ref name="pmid25230084">{{cite journal |vauthors=Bloom S, Kemp W, Lubel J |title=Portal hypertension: pathophysiology, diagnosis and management |journal=Intern Med J |volume=45 |issue=1 |pages=16–26 |year=2015 |pmid=25230084 |doi=10.1111/imj.12590 |url=}}</ref>
Usually, [[Non-alcoholic fatty liver disease|nonalcoholic fatty liver disease]] presents with no or few symptoms and sighs but when it does it shows the following:
** Increase in abdominal girth due to [[ascites]]
* [[Hepatomegaly]]
** [[Itch|Pruritus]]
* [[Fatigue]]
** Signs of [[upper gastrointestinal bleeding]]:
* [[Ascites]]
*** [[Hematemesis]]
* [[Gynecomastia]] ( due to decreased estrogen clearance by liver damage )
*** [[Hematochezia]]
* [[Right upper quadrant abdominal pain resident survival guide|Right upper quadrant abdominal pain]]
*** [[Melena]]
* [[Jaundice]]
* [[Splenomegaly]]
* Most of the time its an incidental diagnosis or the disease may present first with [[cirrhosis]] and/or the complication of [[portal hypertension]]


==References==
==References==
{{reflist|2}}
{{reflist|2}}
{{WH}}
{{WS}}


[[Category:Needs content]]
[[Category:Needs content]]
[[Category:Primary care]]
[[Category:Disease]]
[[Category:Disease]]
[[Category:Gastroenterology]]
[[Category:Gastroenterology]]
[[Category:Hepatology]]
[[Category:Hepatology]]
{{WH}}
{{WS}}

Latest revision as of 22:27, 29 July 2020

Jaundice Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Jaundice from other Conditions

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Chest X Ray

Electrocardiogram

CT

MRI

Echocardiography or Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Jaundice history & symptoms On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Jaundice history & symptoms

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Jaundice history & symptoms

CDC on Jaundice history & symptoms

Jaundice history & symptoms in the news

Blogs on Jaundice history & symptoms

Directions to Hospitals Treating Jaundice

Risk calculators and risk factors for Jaundice history & symptoms

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Farnaz Khalighinejad, MD [2]

Overview

Common symptoms associated with jaundice are yellowing of the skin, nausea, and vomiting. Specific symptoms will depend on the underlying cause of jaundice. Patients may present with fever, anorexia, dark urine, fatigue, pruritis, right upper quadrant pain. A detailed history of alcohol use, blood transfusions, history of viral hepatitis and family history of liver disease is recommended for all the patients.

History and Symptoms

  • Jaundice typically progress in "top to bottom" manner, from face to feet.
  • Specific history should be focused on alcohol or hepatotoxic medication use.

History

Patients with jaundice may have a positive history of:

Social history

  • History of alcohol use:
    • Amount
    • Duration
  • History of illicit drug use
  • History of unprotected sexual intercourse

Past Medical history

Family history

Medication history

Common Symptoms

Common symptoms of jaundice depends on the underlying factor that causes jaundice and include:

Less Common Symptoms

Less common symptoms of jaundice include

References

  1. ↑ Flores YN, Lang CM, Salmerón J, Bastani R (2012). "Risk factors for liver disease and associated knowledge and practices among Mexican adults in the US and Mexico". J Community Health. 37 (2): 403–11. doi:10.1007/s10900-011-9457-4. PMID 21877109.
  2. ↑ Krugman S, Giles JP (1970). "Viral hepatitis. New light on an old disease". JAMA. 212 (6): 1019–29. PMID 4191502.
  3. ↑ Singal AK, Bataller R, Ahn J, Kamath PS, Shah VH (2018). "ACG Clinical Guideline: Alcoholic Liver Disease". Am. J. Gastroenterol. doi:10.1038/ajg.2017.469. PMID 29336434.
  4. ↑ Williams EJ, Iredale JP (1998). "Liver cirrhosis". Postgrad Med J. 74 (870): 193–202. PMC 2360862. PMID 9683971.
  5. ↑ Schuppan D, Afdhal NH (2008). "Liver cirrhosis". Lancet. 371 (9615): 838–51. doi:10.1016/S0140-6736(08)60383-9. PMC 2271178. PMID 18328931.
  6. ↑ Talwalkar JA, Lindor KD (July 2003). "Primary biliary cirrhosis". Lancet. 362 (9377): 53–61. doi:10.1016/S0140-6736(03)13808-1. PMID 12853201.
  7. ↑ Porta M, Fabregat X, Malats N, Guarner L, Carrato A, de Miguel A, Ruiz L, Jariod M, Costafreda S, Coll S, Alguacil J, Corominas JM, Solà R, Salas A, Real FX (2005). "Exocrine pancreatic cancer: symptoms at presentation and their relation to tumour site and stage". Clin Transl Oncol. 7 (5): 189–97. PMID 15960930.
  8. ↑ Bunchorntavakul C, Reddy KR (2012). "Pruritus in chronic cholestatic liver disease". Clin Liver Dis. 16 (2): 331–46. doi:10.1016/j.cld.2012.03.010. PMID 22541702.
  9. ↑ Patel T (2011). "Cholangiocarcinoma--controversies and challenges". Nat Rev Gastroenterol Hepatol. 8 (4): 189–200. doi:10.1038/nrgastro.2011.20. PMC 3888819. PMID 21460876.
  10. ↑ Lazaridis KN, LaRusso NF (September 2016). "Primary Sclerosing Cholangitis". N. Engl. J. Med. 375 (12): 1161–70. doi:10.1056/NEJMra1506330. PMC 5553912. PMID 27653566.
  11. ↑ Bloom S, Kemp W, Lubel J (2015). "Portal hypertension: pathophysiology, diagnosis and management". Intern Med J. 45 (1): 16–26. doi:10.1111/imj.12590. PMID 25230084.

Template:WH Template:WS

Retrieved from "https://www.wikidoc.org/index.php?title=Jaundice_history_%26_symptoms&oldid=1640004"