A patient with jaundice (icterus)

EBM Guidelines
Jan 28, 2021 • Latest change Jul 31, 2023
Ritva Koskela

Table of contents

Extract

  • Patients with obstructive jaundice that can be treated surgically or endoscopically should be promptly identified. Upper abdominal ultrasonography should be performed urgently on acutely icteric patients.
  • Investigations are performed to disclose whether jaundice due to hepatic cell damage is associated with acute or chronic liver disease.
  • Haemolysis Haemolytic anaemia1 should be diagnosed.
  • True icterus should be differentiated from Gilbert's syndrome Gilbert's syndrome2 and from hypercarotinaemia that is found in patients who eat a lot of carrots.

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Abdominal Pain, Alcoholic Beverages, Alkaline Phosphatase, Bile, Bile Ducts, Intrahepatic, Bilirubin, Cholangiopancreatography, Endoscopic Retrograde, Cholelithiasis, Cholestasis, Gastroenterology, Gilbert Disease, Hemolysis, Hyperbilirubinemia, Hypertension, Portal, Internal medicine, Jaundice, Jaundice, Obstructive, Liver, Liver Diseases, Pruritus, R17, Surgery, bile duct stricture, hemolytic icterus, parenchymal icterus, sphincter of Oddi, sphincterotomy