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