Jaundice: Difference between revisions
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==[[Jaundice diagnosis|Diagnosis]]== | ==[[Jaundice diagnosis|Diagnosis]]== | ||
[[Jaundice history & symptoms|History and Symptoms]] | [[Jaundice physical examination|Physical Examination]] | [[Jaundice lab tests|Lab tests]] | [[Jaundice ct|CT]] | [[Jaundice mri|MRI]] | [[Jaundice other diagnostic studies|Other Diagnostic Studies]] | [[Jaundice history & symptoms|History and Symptoms]] | [[Jaundice physical examination|Physical Examination]] | [[Jaundice lab tests|Lab tests]] | [[Jaundice ct|CT]] | [[Jaundice mri|MRI]] | [[Jaundice other diagnostic studies|Other Diagnostic Studies]] | ||
===Physical Examination=== | ===Physical Examination=== | ||
* Complete physical exam including evidence of: | * Complete physical exam including evidence of: | ||
Revision as of 17:00, 16 July 2012
Template:DiseaseDisorder infobox
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Assosciate Editor(s)-In-Chief: Prashanth Saddala M.B.B.S
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Jaundice Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Jaundice On the Web |
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American Roentgen Ray Society Images of Jaundice |
Synonyms and keywords: Icterus
Overview
Historical Perspective
Classification
Neonatal jaundice | Prehepatic jaundice | Hepatic jaundice | Posthepatic jaundice
Pathophysiology
Causes
Common Causes | Causes by Organ System | Causes in Alphabetical Order
Diagnosis
History and Symptoms | Physical Examination | Lab tests | CT | MRI | Other Diagnostic Studies
Physical Examination
- Complete physical exam including evidence of:
- Hepatomegaly
- Splenomegaly
- Palpable gallbladder
- Signs of chronic liver disease
Appearance of the Patient Skin
- Jaundice is visible in conjunctiva, skin and mucosa when the serum bilirubin level rises above 2 mg/dL
Eyes
- Jaundice is usually best seen in the periphery of the ocular conjunctivae
Abdomen
- Hepatomegaly may be present
Neurologic
- A flap may be present
Lab tests
- Total and unconjugated bilirubin
- Bilirubin is the major breakdown product of hemoglobin that is released from dying or damaged erythrocytes
- The normal bilirubin range is 0.3-1.0 mg/dL
- Aspartate aminotransferase
- Alanine aminotransferase
- Albumin
- Alkaline phosphatase
- HIV serologies
- Hepatitis serologies
- Antinuclear antibody (ANA)
- Antimitochondrial antibodies
- Haptoglobin
- Reticulocyte count
- Lactic dehydrogenase (LDH)
MRI and CT
- Abdominal CT scan may be helpful
Echocardiography or Ultrasound
- Abdominal ultrasound
Other Diagnostic Studies
- Endoscopic retrograde cholangio-pancreatography (ERCP)
Treatment
- Discontinue (and avoid) use of hepatotoxic medications
- Rehydrate
- Treat underlying etiologies
Acute Pharmacotherapies
- Steroids
Surgery and Device Based Therapy
- Cholecystectomy or ERCP
See also
References
Template:Skin and subcutaneous tissue symptoms and signs Template:Nervous and musculoskeletal system symptoms and signs Template:Urinary system symptoms and signs Template:Cognition, perception, emotional state and behaviour symptoms and signs Template:Speech and voice symptoms and signs Template:General symptoms and signs
ar:يرقان bs:Žutica ca:Icterícia cs:Žloutenka da:Gulsot de:Ikterus eo:Iktero it:Ittero he:צהבת la:Icterus lt:Gelta ml:മഞ്ഞപ്പിത്തം ms:Demam kuning jaundis nl:Geelzucht no:Gulsott nn:Gulsot sk:Žltačka sl:Zlatenica fi:Keltaisuus sv:Gulsot te:పచ్చకామెర్లు