Jaundice

True Jaundice

  • sclera icterus
  • pruritus

Intrahepatic

  • yellow, RHC pain, +/-tea-coloured urine

Post-hepatic

  • yellow, RHC biliary colic pain, tea-coloured urine, acholic stools

Pre-hepatic

  • yellow
  • worry about anaemia

haemolysis

acquired (BAVI)

Jaundice mimics

carotenemia

CKD

Addison's disease

Wilson's disease

Repeated blood transfusions

Drugs - rifampicin

Malaria

slow bile uptake/conjugation

CHF with hepatosplenomegaly

sepsis

Gilbert syndrome

Inherited

ABO incompatibility (blood transfusion)

G6PD

Thalassemia

sickle cell anaemia

autoimmune haemolytic anaemia

valvular stenosis/ prosthetic valve

Portosystemic shunts

viral hepatitis
(prodromal sx)

alcoholic hepatitis

paracetamol-induced hepatitis

HCC

NASH

ischaemic hepatitis

infiltrative (haemochromatosis, wilson's)

autoimmune hepatitis

liver cirrhosis

painful

painless

choledocholithiasis

cholangitis

hepatic abscess

PBC (xanthelesma/DM/thyroid/vitiligo, very itchy) /PSC

HOP Ca

mirizzi

cholangio Ca (liver fluke)

stricture

choledochal cyst