Jaundice resident survival guide
| Jaundice Resident Survival Guide |
|---|
| Overview |
| Causes |
| Diagnosis |
| Treatment |
| Do's |
| Don'ts |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Synonyms and keywords:
Overview
The classic definition of Jaundice is a serum bilirubin level higher than 2.5 to 3 mg per dL (42.8 to 51.3 μper L) in conjunction with a clinical picture of yellow skin and sclera. Bilirubin metabolism takes place in three phases; "prehepatic", "intrahepatic", and "posthepatic". The causes of jaundice can be classified under these categories by measuring total bilirubin and its conjugated and unconjugated levels determine where is the dysfunction of bilirubin metabolism.
Causes
Life Threatening Causes
Life-threatening causes include conditions that may result in death or permanent disability within 24 hours if left untreated.
Common Causes
of acute Jaundice[2]
- Gilbert syndrome
- Alcoholic hepatitis
- Viral hepatitis
- Obstructive Jaundice due to Choledocholithiasis or Malignancy
- Decompensated chronic liver disease
of chronic progressive Jaundice
Diagnosis
Shown below is an algorithm summarizing the diagnosis of [[disease name]] according the the [...] guidelines.
| Characterize the jaundice Duration: short Hx vs long Hx Episodic vs. Constant | |||||||||||||||||
| Assoaciated symptoms Abdominal pain and/or distension fever clay colored stool dark urine weight gain or loss Anorexia dyspepsia arthralgia myalgia Back pain Rash | |||||||||||||||||
| Past medical history Blood disorder Liver, biliary, pancreatic disease Cardiac disease Infectious disease( HIV, Malaria,... | |||||||||||||||||
| Medication History | |||||||||||||||||
Treatment
Shown below is an algorithm summarizing the treatment of [[disease name]] according the the [...] guidelines.
Do's
- The content in this section is in bullet points.
Don'ts
- The content in this section is in bullet points.