Jaundice history & symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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.

History & 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.

The caregiver should ask questions regarding

• Alcohol/hepatotoxic medication use

Various Symptoms

• Alcohol Hepatitis

  • Aspartate aminotransferase:alanine aminotransferase ratio > 2 (AST:ALT)
  • Fever
  • Leukocytosis

• Viral Hepatitis

  • Anorexia
  • Dark urine
  • Fatigue
  • Hepatomegaly
  • Light-colored stools (acholic stools)
  • Nausea
  • Pruritis
  • Right upper quadrant (RUQ) pain
  • Nausea and Vomiting

References

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