Sandbox:Jaundice: Difference between revisions

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! colspan="3" rowspan="3" align="center" style="background:#4479BA; color: #FFFFFF;" |Classification of jaundice based on etiology
! colspan="2" rowspan="3" align="center" style="background:#4479BA; color: #FFFFFF;" |Classification of jaundice based on etiology
! rowspan="3" align="center" style="background:#4479BA; color: #FFFFFF;" |Disease
! rowspan="3" align="center" style="background:#4479BA; color: #FFFFFF;" |Disease
! colspan="8" align="center" style="background:#4479BA; color: #FFFFFF;" |Clinical manifestations
! colspan="8" align="center" style="background:#4479BA; color: #FFFFFF;" |Clinical manifestations
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! rowspan="37" align="center" style="background:#4479BA; color: #FFFFFF;" |Hyperbilirubinema
! rowspan="37" align="center" style="background:#4479BA; color: #FFFFFF;" |Hyperbilirubinema
! colspan="1" rowspan="25" style="padding: 5px 5px; background: #DCDCDC;" align="center" | Inflammatory causes
! colspan="1" rowspan="25" style="padding: 5px 5px; background: #DCDCDC;" align="center" | Unconjugated Hyperbilirubinemia
! rowspan="7" style="padding: 5px 5px; background: #DCDCDC;" align="center" |Pancreato-biliary disorders
| colspan="1" rowspan="1" style="padding: 5px 5px; background: #DCDCDC;" align="center" | Acute suppurative cholangitis
| colspan="1" rowspan="1" style="padding: 5px 5px; background: #DCDCDC;" align="center" | Acute suppurative cholangitis
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! colspan="1" rowspan="5" style="padding: 5px 5px; background: #DCDCDC;" align="center" | Gastric causes
| colspan="1" rowspan="1" style="padding: 5px 5px; background: #DCDCDC;" align="center" | [[Peptic Ulcer Disease|Peptic ulcer disease]]
| colspan="1" rowspan="1" style="padding: 5px 5px; background: #DCDCDC;" align="center" | [[Peptic Ulcer Disease|Peptic ulcer disease]]
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! rowspan="8" style="padding: 5px 5px; background: #DCDCDC;" align="center" |Intestinal causes
| colspan="1" rowspan="1" style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Acute appendicitis]]
| colspan="1" rowspan="1" style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Acute appendicitis]]
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! rowspan="4" style="padding: 5px 5px; background: #DCDCDC;" align="center" |Hepatic causes
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! style="padding: 5px 5px; background: #DCDCDC;" align="center" | Peritoneal causes
| colspan="1" rowspan="1" style="padding: 5px 5px; background: #DCDCDC;" align="center" |
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! colspan="2" rowspan="4" style="padding: 5px 5px; background: #DCDCDC;" align="center" | Hollow Viscous Obstruction
! rowspan="4" style="padding: 5px 5px; background: #DCDCDC;" align="center" | Conjugated
Hyperbilirubinemia
| colspan="1" rowspan="1" style="padding: 5px 5px; background: #DCDCDC;" align="center" |Small intestine obstruction
| colspan="1" rowspan="1" style="padding: 5px 5px; background: #DCDCDC;" align="center" |Small intestine obstruction
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! rowspan="4" style="padding: 5px 5px; background: #DCDCDC;" align="center" |Vascular Disorders
! rowspan="8" style="padding: 5px 5px; background: #DCDCDC;" align="center" |Mixed
! rowspan="2" style="padding: 5px 5px; background: #DCDCDC;" align="center" |Ischemic causes
Hyperbilirubinemia
| style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Mesenteric ischemia]]
| style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Mesenteric ischemia]]
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! rowspan="2" style="padding: 5px 5px; background: #DCDCDC;" align="center" |Hemorrhagic causes
| style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Ruptured abdominal aortic aneurysm]]
| style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Ruptured abdominal aortic aneurysm]]
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! rowspan="4" style="padding: 5px 5px; background: #DCDCDC;" align="center" |Gynaecological Causes
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! rowspan="3" style="padding: 5px 5px; background: #DCDCDC;" align="center" |Tubal causes
| style="padding: 5px 5px; background: #DCDCDC;" align="center" |Torsion of the cyst
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| style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Salpingitis|Acute salpingitis]]
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| style="padding: 5px 5px; background: #DCDCDC;" align="center" |Cyst rupture
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! style="padding: 5px 5px; background: #DCDCDC;" align="center" |Pregnancy
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| style="padding: 5px 5px; background: #DCDCDC;" align="center" |Ruptured [[ectopic pregnancy]]
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! rowspan="2" align="center" style="background:#4479BA; color: #FFFFFF;" |Non-hyperbilirubinemia causes of jaundice (false jaundice)
! rowspan="2" align="center" style="background:#4479BA; color: #FFFFFF;" |Non-hyperbilirubinemia causes of jaundice (false jaundice)
! style="padding: 5px 5px; background: #DCDCDC;" align="center" |Rifampin use
! style="padding: 5px 5px; background: #DCDCDC;" align="center" |Rifampin use
| colspan="2" style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Pleural empyema]]
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! style="padding: 5px 5px; background: #DCDCDC;" align="center" |Beta caroten
! style="padding: 5px 5px; background: #DCDCDC;" align="center" |Beta caroten
| colspan="2" style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Myocardial Infarction]]
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Revision as of 17:38, 7 November 2017

Differential diagnosis

Abbreviations: RUQ= Right upper quadrant of the abdomen, LUQ= Left upper quadrant, LLQ= Left lower quadrant, RLQ= Right lower quadrant, LFT= Liver function test, SIRS= Systemic inflammatory response syndrome, ERCP= Endoscopic retrograde cholangiopancreatography, IV= Intravenous, N= Normal, AMA= Anti mitochondrial antibodies, LDH= Lactate dehydrogenase, GI= Gastrointestinal, CXR= Chest X ray, IgA= Immunoglobulin A, IgG= Immunoglobulin G, IgM= Immunoglobulin M, CT= Computed tomography, PMN= Polymorphonuclear cells, ESR= Erythrocyte sedimentation rate, CRP= C-reactive protein

Classification of jaundice based on etiology Disease Clinical manifestations Diagnosis Comments
Symptoms Signs
Fever Rigors and chills Abdominal Pain Lab Findings Imaging
Hyperbilirubinema Unconjugated Hyperbilirubinemia Acute suppurative cholangitis
Acute cholangitis
Acute cholecystitis
Acute pancreatitis
Primary biliary cirrhosis
Primary sclerosing cholangitis
Cholelithiasis
Peptic ulcer disease
Gastritis
Gastroesophageal reflux disease
Gastric outlet obstruction
Gastrointestinal perforation
Acute appendicitis
Acute diverticulitis
Inflammatory bowel disease
Irritable bowel syndrome
Whipple's disease
Toxic megacolon
Tropical sprue
Celiac disease
Conjugated

Hyperbilirubinemia

Small intestine obstruction
Volvulus
Biliary colic
Renal colic
Mixed

Hyperbilirubinemia

Mesenteric ischemia
Acute ischemic colitis
Ruptured abdominal aortic aneurysm
Intra-abdominal or retroperitoneal hemorrhage
Non-hyperbilirubinemia causes of jaundice (false jaundice) Rifampin use
Beta caroten