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Jaundice (Intrahepatic (Infection (Hep B (Travel, high risk sexual hx, IV…
Jaundice
Intrahepatic
Infection
Hep B
Travel, high risk sexual hx, IV drug user
Acute: Hepatomegaly, jaundice
Chronic: Pruritus, abdominal swelling, hematemesis, melena, confusion, lethargy, weight loss, weakness, bruising
Hep C
IV drug user, high risk sexual hx
Hep A
Food-borne, anorexia, nausea, vomiting, diarrhea, abdo pain, weight loss
Hep E
Undercooked pork
Tender hepatosplenomegaly
lymphadenopathy
Alcohol
Abdominal pain, pruritis, anorexia, malaise, cachexia, pale stool, melena or hematamesis
Drug
paracetamol overdose
Isoniazid
tender hepatosplenomegaly, lymphadenopathy, RUQ pain, pruritus, malaise, weight loss, fatigue, anorexia, pale stool, dark urine.
Bud Chiari
Environmental Toxins
Vinyl chloride
Jamaica bush tea
Kava Kava
Wild Mushroom
Post-hepatic
Ascending cholangitis
Chills, pain, pale stools, dark urine, pruritus, generalised malaise, weight loss, fatigue, anorexia
Triad: Fever, RUQ tenderness, jaundice
Pancreatic Carcinoma
Early satiety, new onset DM, abdominal pain, pruritus, malaise, fatigue, anorexia, pale stool, dark urine
Courvoisier's sign, palpable gallbladder, ill-appearing, cachectic
Postop stricture
Gallbladder or bile duct surgery, abdo pain, pruritus, fatigue, anorexia, pale stool, dark urine
Hemolytic anemia
Fever or chills, Family hx of haemolytic hx, abdominal pain, weight loss, dark urine, fatigue